Multisystem atrophy (MSA)
Progressive ataxia gait dysfunction, dysarthria and dysphagia.
Loading Stack -
0 images remaining
High signal is seen on T2/FLAIR crossing left to right and AP in the pons, creating the hot-cross bun appearance. Signal drop out is also seen in the basal ganglia.
This case illustrates features suggestive of multiple system atrophy.