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Elan D. Louis, MD, MS
Neurological Institute 710 W 168th St New York, NY 10032

Timothy Lynch, MRCPI; Blair Ford, MD, FRCP; Susan B. Bressman, MD; Stanley Fahn, MD
New York

Arch Neurol. 1996;53(12):1214-1215.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In reply

We thank Djaldetti and Melamed for their response to our article,¹ and read with great interest their report of a patient with a pancerebellar syndrome that developed 5 years after head trauma. While their case shared several important clinical features with ours, it differed from ours in other respects, including (1) a briefer period of coma (a few hours) with absence of neurological deficits on awakening, (2) normal neuroimaging, and (3) a longer latency between the head trauma and the onset of the syndrome.

We reported 3 cases of a delayed-onset, pancerebellar syndrome that developed 6 weeks to 2 years after head trauma. All the patients had a severe insult, followed by a prolonged period of coma (2 days to 2 months). Other neurological deficits (eg, focal weakness, cranial nerve palsies, or cognitive abnormalities) were uniformly present on awakening. On neuroimaging, lesions were present in the thalamus . . . [Full Text PDF of this Article]

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