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Olivopontocerebellar Atrophy (OPCA)

Hoang DTH - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Olivopontocerebellar Atrophy (OPCA)

History: Patient is a 66 y/o woman with progressive gait dysfunction, Parkinson's disease, and cerebellar dysfunction that worsened over the past year.

Findings: Again noted is severe cerebellar atrophy involving both the cerebellar hemispheres and the vermis and disproportionate to the rest of the brain. Since the last scan, flattening and atrophy of the pons appears to be slightly worsened from the previous examination, and the pons is definitely smaller than the comparison study from 2005 with a concave appearance to the inferior aspect.

Ddx: • Multiple system atrophy • Chronic alcohol abuse • Parkinson's disease • Progressive Supranuclear Palsy • Paraneoplasic cerebellar degeneration • Friedreich ataxia • Cortical basal ganglionic degeneration • Multiple sclerosis

Dxhow: Clinical neurologic presentation/exam and neuroimaging is consistent with OPCA

Exam: N/a

No MeSH data available.


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Related In: Results  -  Collection

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Olivopontocerebellar Atrophy (OPCA)

Hoang DTH - MedPix (2009)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2184&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Olivopontocerebellar Atrophy (OPCA)

History: Patient is a 66 y/o woman with progressive gait dysfunction, Parkinson's disease, and cerebellar dysfunction that worsened over the past year.

Findings: Again noted is severe cerebellar atrophy involving both the cerebellar hemispheres and the vermis and disproportionate to the rest of the brain. Since the last scan, flattening and atrophy of the pons appears to be slightly worsened from the previous examination, and the pons is definitely smaller than the comparison study from 2005 with a concave appearance to the inferior aspect.

Ddx: • Multiple system atrophy • Chronic alcohol abuse • Parkinson's disease • Progressive Supranuclear Palsy • Paraneoplasic cerebellar degeneration • Friedreich ataxia • Cortical basal ganglionic degeneration • Multiple sclerosis

Dxhow: Clinical neurologic presentation/exam and neuroimaging is consistent with OPCA

Exam: N/a

No MeSH data available.