Clinics in diagnostic imaging (191). Multiple system atrophy-cerebellar type (MSA-C)

Singapore Med J. 2018 Oct;59(10):550-554. doi: 10.11622/smedj.2018128.

Abstract

A 49-year-old Chinese man was evaluated for progressive uncoordinated movements, dysphagia and urinary symptoms. Magnetic resonance imaging demonstrated a cruciform pattern of T2-weighted hyperintensity within the pons and selective atrophy of the cerebellar hemispheres and pons. The clinical history and radiological findings were consistent with a diagnosis of multiple system atrophy-cerebellar type. This article discussed the background, proposed mechanisms, diagnosis, radiological characteristics, prognosis and management of multiple system atrophy-cerebellar type.

Keywords: multiple system atrophy cerebellar type; sporadic olivopontocerebellar atrophy; type C.

Publication types

  • Case Reports

MeSH terms

  • Alcoholism / complications
  • Alcoholism / diagnostic imaging
  • Atrophy
  • Autonomic Nervous System
  • Cerebellum / diagnostic imaging*
  • Cerebellum / pathology
  • Diagnosis, Differential
  • Disease Progression
  • Fatal Outcome
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Multiple System Atrophy / diagnostic imaging*
  • Pneumonia, Aspiration / complications
  • Prognosis