Hypertrophic olivary degeneration: A case report
Abstract Hypertrophic olivary degeneration is a rare occurrence in which different pathological processes including enlargement and vacuolation of the neurons, demyelination of the white matter, and fibrillary gliosis of the inferior olivary nucleus take place. It mostly develops secondary to a dest...
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| Published in: | The Indian journal of radiology & imaging Vol. 29; no. 4; pp. 435 - 437 |
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| Format: | Journal Article |
| Language: | English |
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| Abstract | Abstract
Hypertrophic olivary degeneration is a rare occurrence in which different pathological processes including enlargement and vacuolation of the neurons, demyelination of the white matter, and fibrillary gliosis of the inferior olivary nucleus take place. It mostly develops secondary to a destructive lesion involving the Guillain–Mollaret pathway. The mostly reported destructive lesions causing hypertrophic olivary degeneration are stroke, trauma, tumors, neurosurgical interventions, and gamma knife treatment of brainstem cavernoma. It presents with symptomatic palatal tremor, and typically appears as an expansive nonenhancing nodular lesion that shows increased signal intensity on magnetic resonance imaging (MRI). The identification of hypertrophic olivary degeneration on MRI is of great importance as its MRI appearance is very similar to those of more severe pathologies, including tumors, infarction, demyelinating lesions, and infections. We present a case of hypertrophic olivary degeneration in a patient with a history of ischemic stroke two years before the development of palatal tremor. |
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| AbstractList | Abstract
Hypertrophic olivary degeneration is a rare occurrence in which different pathological processes including enlargement and vacuolation of the neurons, demyelination of the white matter, and fibrillary gliosis of the inferior olivary nucleus take place. It mostly develops secondary to a destructive lesion involving the Guillain–Mollaret pathway. The mostly reported destructive lesions causing hypertrophic olivary degeneration are stroke, trauma, tumors, neurosurgical interventions, and gamma knife treatment of brainstem cavernoma. It presents with symptomatic palatal tremor, and typically appears as an expansive nonenhancing nodular lesion that shows increased signal intensity on magnetic resonance imaging (MRI). The identification of hypertrophic olivary degeneration on MRI is of great importance as its MRI appearance is very similar to those of more severe pathologies, including tumors, infarction, demyelinating lesions, and infections. We present a case of hypertrophic olivary degeneration in a patient with a history of ischemic stroke two years before the development of palatal tremor. Hypertrophic olivary degeneration is a rare occurrence in which different pathological processes including enlargement and vacuolation of the neurons, demyelination of the white matter, and fibrillary gliosis of the inferior olivary nucleus take place. It mostly develops secondary to a destructive lesion involving the Guillain–Mollaret pathway. The mostly reported destructive lesions causing hypertrophic olivary degeneration are stroke, trauma, tumors, neurosurgical interventions, and gamma knife treatment of brainstem cavernoma. It presents with symptomatic palatal tremor, and typically appears as an expansive nonenhancing nodular lesion that shows increased signal intensity on magnetic resonance imaging (MRI). The identification of hypertrophic olivary degeneration on MRI is of great importance as its MRI appearance is very similar to those of more severe pathologies, including tumors, infarction, demyelinating lesions, and infections. We present a case of hypertrophic olivary degeneration in a patient with a history of ischemic stroke two years before the development of palatal tremor. |
| Audience | Academic |
| Author | Özdemir, Meltem Kavak, Rasime Pelin Turan, Aynur Dilli, Alper |
| AuthorAffiliation | Department of Radiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31949348$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3389/fneur.2017.00302 10.1111/j.1552-6569.2009.00461.x 10.4103/0971-3026.143902 10.4103/2156-7514.150454 10.1093/brain/awh137 |
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| Copyright | Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). Copyright: © 2019 Indian Journal of Radiology and Imaging. COPYRIGHT 2019 Medknow Publications and Media Pvt. Ltd. 2019. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright: © 2019 Indian Journal of Radiology and Imaging 2019 |
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| Keywords | hypertrophic olivary degeneration Guillain–Mollaret triangle magnetic resonance imaging |
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| References | M Goyal (ref3) 2000; 21 M Samuel (ref4) 2004; 127 C Tilikete (ref1) 2017; 8 R Sarawagi (ref2) 2015; 5 D Sen (ref6) 2014; 24 A Dinçer (ref5) 2011; 21 |
| References_xml | – volume: 21 start-page: 1073 year: 2000 ident: ref3 article-title: Hypertrophic olivary degeneration: Metaanalysis of the temporal evolution of MR findings publication-title: AJNR Am J Neuroradiol contributor: fullname: M Goyal – volume: 8 start-page: 302 year: 2017 ident: ref1 article-title: Hypertrophic olivary degeneration and palatal or oculopalatal tremor publication-title: Front Neurol doi: 10.3389/fneur.2017.00302 contributor: fullname: C Tilikete – volume: 21 start-page: 145 year: 2011 ident: ref5 article-title: Diffusion tensor imaging of Guillain-Mollaret triangle in patients with hypertrophic olivary degeneration publication-title: J Neuroimaging doi: 10.1111/j.1552-6569.2009.00461.x contributor: fullname: A Dinçer – volume: 24 start-page: 401 year: 2014 ident: ref6 article-title: MRI and MR tractography in bilateral hypertrophic olivary degeneration publication-title: Indian J Radiol Imaging doi: 10.4103/0971-3026.143902 contributor: fullname: D Sen – volume: 5 start-page: 8 year: 2015 ident: ref2 article-title: Hypertrophic olivary degeneration – A report of two cases publication-title: J Clin Imaging Sci doi: 10.4103/2156-7514.150454 contributor: fullname: R Sarawagi – volume: 127 start-page: 1252 year: 2004 ident: ref4 article-title: Progressive ataxia and palatal tremor (PAPT): Clinical and MRI assessment with review of palatal tremors publication-title: Brain doi: 10.1093/brain/awh137 contributor: fullname: M Samuel |
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Hypertrophic olivary degeneration is a rare occurrence in which different pathological processes including enlargement and vacuolation of the neurons,... Hypertrophic olivary degeneration is a rare occurrence in which different pathological processes including enlargement and vacuolation of the neurons,... |
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| SubjectTerms | Care and treatment Case Report Case reports Consent Degeneration Enlargement Eutrophication Guillain-Barre syndrome guillain–mollaret triangle hypertrophic olivary degeneration Infarction Lesions Magnetic resonance imaging Neurological disorders Neurons NMR Nuclear magnetic resonance Physiological aspects Tremor Tremors Tumors |
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| Title | Hypertrophic olivary degeneration: A case report |
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