HYPERTROPHIC OLIVARY DEGENERATION AFTER BRAINSTEM HAEMORRHAGE – A CASE REPORT

Insidious neurological deterioration may develop months to years after a lesion involving the Guillain-Mollaret triangle due to hypertrophic olivary degeneration. Lesions involving the dento-rubro-olivary pathways may lead to pseudo-hypertrophy of the inferior olivary nucleus with subsequent neurona...

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Bibliographic Details
Published in:Romanian journal of neurology Vol. 18; no. 1; pp. 45 - 50
Main Authors: Radu, Razvan Alexandru, Ionita, Luiza Maria, Terecoasa, Elena Oana, Marinescu, Andreea Nicoleta, Tiu, Cristina
Format: Journal Article
Language:English
Published: Amaltea Medical Publishing House 31-03-2019
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Summary:Insidious neurological deterioration may develop months to years after a lesion involving the Guillain-Mollaret triangle due to hypertrophic olivary degeneration. Lesions involving the dento-rubro-olivary pathways may lead to pseudo-hypertrophy of the inferior olivary nucleus with subsequent neuronal degeneration. A number of clinical syndromes have been linked to hypertrophic olivary degeneration. Cases of gait ataxia, Holmes tremor and symptomatic palatal and oculo-palatal tremor were associated with this condition. We hereby report a case of disabling Holmes tremor and gait ataxia associated with palatal tremor in a 45-year-old patient with a prior brainstem haemorrhage.
ISSN:1843-8148
2069-6094
DOI:10.37897/RJN.2019.1.8