Presentation
Parkinsonism and ataxia
Patient Data
Age: 35 years
Gender: Female
From the case:
Hot cross bun sign
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Typical hot cross bun sign is seen in the pons on T2/FLAIR axial images, associated with brain stem and cerebellar hemisphere atrophy.
Case Discussion
Hot cross bun sign is seen in the pons in a Multiple system atrophy (MSA) patient, the sign has also seen with other neurodegenerative diseases such as spinocerebellar atrophy and parkinsonism. In appropriate clinical setting, detection of these changes is useful to confirm the diagnosis of MSA.
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