Presentation
8 month history of deteriorating balance and coordination, associated falls and unsteady gait
Patient Data
Age: 65 years
Gender: Female
From the case:
Hot cross bun sign of pons
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Reduced bulk of brainstem with hot cross bun sign and prominent cerebellar folia suggestive of cerebellar atrophy is noted.
Case Discussion
Multiple system atrophy cerebellar type (MSA-C), previously known as olivo-ponto-cerebellar atrophy, is associated with disproportionate atrophy of the cerebellum and brainstem with hyperintensities along pontocerebellar tracts giving a hot cross bun sign.
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