Patient Data
Age: 65-year-old
Gender: Male
From the case:
Wallerian degeneration in middle cerebellar peduncles
Loading images...
Axial DIR
Symmetrical bilateral middle cerebellar peduncle T2 hyperintensities are associated with an established right paramedian pontine infarct. The lesions demonstrate minor increased DWI signal and facilitated diffusion on ADC.
Case Discussion
This is an interesting case with the differential being essentially that of bilateral middle cerebellar peduncle T2 signal abnormality. In the context of a prior pontine infarct the main differential consideration is that of bilateral AICA infarction and Wallerian degeneration.
Wallerian degeneration is favored given the very symmetric nature of the abnormality and the presence of the pontine infarct. This is a recognized pattern 1-3,5.
Acknowledgement: Prof Stephen Stuckey
Unable to process the form. Check for errors and try again.