Hypertrophic olivary degeneration after resection of a pontine cavernous malformation: A case report

Joseph L. Gatlin, Robert Wineman, Bruce Schlakman, Razvan Buciuc, Majid Khan

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

We report the case of a 35 year old African American female who developed hypertrophic olivary degeneration secondary to resection of a pontine cavernous malformation. The patient initially complained of headaches and diplopia. Unenhanced computed tomography (CT) and magnetic resonance images (MRI) of the brain revealed a left pontine cavernous malformation with scattered foci of recent and remote hemorrhage. The patient subsequently underwent surgical resection of the lesion. Follow up MRI 7 months post surgery demonstrated hypertrophy and T2 signal hyperintensity in the ipsilateral inferior olivary nucleus secondary to hypertrophic olivary degeneration. Familiarity with this diagnosis and its imaging characteristics is required of the radiologist to prevent erroneous diagnoses of other pathology.

Original languageEnglish (US)
Pages (from-to)24-29
Number of pages6
JournalJournal of Radiology Case Reports
Volume5
Issue number3
DOIs
StatePublished - 2011
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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