MRI diagnosis of hypertrophic olivary degeneration

LI Hong; MA Lin; HE Bao-ming; YOU Kun; QUAN Chang-bin; HONG Jian

Journal of China Clinic Medical Imaging ›› 2006, Vol. 17 ›› Issue (4) : 188-190.

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MRI diagnosis of hypertrophic olivary degeneration

LI Hong1, MA Lin2, HE Bao-ming1, YOU Kun1, QUAN Chang-bin1, HONG Jian1

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Abstract

Objective: To analyze MRI characteristics of hypertrophic olivary degeneration(HOD) in order to improve our knowledge for this disease. Materials and Methods: MRI findings in all 8 patients with HOD and the inciting lesions were reviewed. The intervals from ictus to MR scan were 3~30 months. Results: The region of inferior olivary nucleus(ION) presented high intensity on T2WI and iso- or mild hypo-intensity on T1WI in all 8 patients. Bilateral ION showed high-signals in 3 cases. Enlargement of the ION in 5 patients also was noted. The primary lesions were also located-three with midbrain infarctions, two with pontine tegmental hemorrhages and two with hemorrhages, one with infarction in the cerebellum. Conclusion: MR images may clearly demonstrate the changes of ION in patients with a lesion in the triangle of Guillain and Mollaret. Misdiagnosis may be avoided by improving the recognizition for this disease.

Key words

olivary nucleus / nerve degeneration / magnetic resonance imaging

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LI Hong;MA Lin;HE Bao-ming;YOU Kun;QUAN Chang-bin;HONG Jian. MRI diagnosis of hypertrophic olivary degeneration[J]. Journal of China Clinic Medical Imaging. 2006, 17(4): 188-190