Presentation
Deterioration of cognitive functions and behavioral changes.
Patient Data
Age: 70 years
Gender: Male
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- Atrophy of the brainstem, cerebellum and middle cerebellar peduncles as well as associated cerebral atrophy
- Hot cross bun sign is apparent at axial T2 WI across the pons
- Straightening of the pontomedullary angle
Case Discussion
Advanced features consistent with multiple systemic atrophy cerebellar type (MSA-C) also known as olivopontocerebellar atrophy.
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