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Hummingbird sign

The hummingbird sign, also known as the penguin sign, refers to the appearance of the brainstem in patients with progressive supranuclear palsy (PSP)

The atrophy of the midbrain results in a profile of the brainstem ( in the sagittal plane ) in which the persevered pons forms the body of the bird, and the atrophic midbrain the head, with beak extending anteriorly towards the optic chiasm. 


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Neurodegenerative diseases are legion and their classification just as protean. A useful approach is to divide them according to underlying pathological process, although even using this schema, there is much overlap and thus resulting confusion. 

Inspired signs

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