Hot cross bun sign in a patient with cerebellar ataxia

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The hot cross bun sign.

Hot cross bun sign refers to the cruciform-shaped hyperintensity on T2W axial magnetic resonance images (MRI) in multisystem atrophy due to the selective loss of myelinated transverse pontocerebellar fibers and neurons in the pontine raphe and sparing of the pontine tegmentum and corticospinal tracts [Figure 1, Figure 2].[1] The name derives from a sweet spiced bun baked by the Christian church...

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Hot cross bun sign in a case with multisystem atrophy

A 65-year-old man came to our clinic with progressive disequilibrium and gait problem since 6 years. During this period, he had also urinary incontinency. On neurologic examination, he had scanning speech and bidirectional nystagmus. There was hypokinesia in upper and lower limbs and on cerebellar tests finger to nose and heel to shin were impaired (severe dysmetria); he was unable to walk with...

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"Hot cross bun" sign in two patients with multiple system atrophy-cerebellar.

The “hot cross bun” sign is characterized by cross-shaped T2 signal hyperintensity within the pons and has been said to be specific although not pathognomonic for multiple system atrophy (MSA).1 Case 1 is a 60-year-old woman who presented with progressive spasticity, limb ataxia, and urinary incontinence of 3 1⁄2 years’ duration (figure 1). Case 2 is a 56-year-old man, who had a history of urge...

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"Hot cross bun" sign resembling multiple system atrophy in a patient with Machado-Joseph disease.

1Department of Neurology, Ataxia Unit, Universidade Federal de São Paulo, São Paulo SP, Brazil; 2Department of Radiology, Universidade Federal de São Paulo and Delboni Auriemo, Diagnósticos da América, São Paulo SP, Brazil. Correspondence: José Luiz Pedroso; Rua Botucatu 740; 04023-900 São Paulo SP Brazil; E-mail: [email protected] Conflict of interest: There is no conflict of interest ...

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ژورنال

عنوان ژورنال: Annals of Indian Academy of Neurology

سال: 2013

ISSN: 0972-2327

DOI: 10.4103/0972-2327.116973