Presentation
Progressive ataxia gait dysfunction, dysarthria and dysphagia.
Patient Data
Age: 50 years
Gender: Male
From the case:
Multisystem atrophy (MSA)
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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.
Case Discussion
This case illustrates features suggestive of multiple system atrophy.