Hypertrophic olivary degeneration

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Previous pontine bleed (6 months ago)

Patient Data

Age: 55 years
Gender: Male

A region of hemosiderin staining with blooming artefact is seen in the right side of the pons consistent with a prior hemorrhage. There is likely an underlying cavernoma. The inferior olivary nucleus demonstrates striking increase in T2 signal and is swollen. No contrast enhancement. 

Case Discussion

Typical appearances of striking hypertrophic olivary degeneration

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