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종결 Case No. 243 2011-06-01~2011-06-30
출제자 : 이영흔 Hit : 388
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Period 2011-06-01~2011-06-30
Diagnosis hypertrophic olivary degeneration
Clinical information M/36 Pontine hemorrahge후 MRI
진단은?
Discussion Answer: hypertrophic olivary degeneration

해설
Transsynaptic damage affecting the dentatorubral-olivary pathway, “Guillain-Mollaret triangle.
Unique type of degeneration associated with enlargement, rather than atrophy, of the inferior olivary neurons delayed fashion, usually within 4–6 months persists.
Olivary hypertrophy typically resolves in 10–16 months
Olivary T2 high SI: persist for years after resolution of the hypertrophy
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