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
Main Authors: Razvan Alexandru Radu, Luiza Maria Ionita, Elena Oana Terecoasa, Andreea Nicoleta Marinescu, Cristina Tiu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2019-03-01
Series:Romanian Journal of Neurology
Subjects:
Online Access:https://rjn.com.ro/articles/2019.1/RJN_2019_1_Art-08.pdf
Description
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