case_images: PMC9437433_01
case_images: Brain MRI of our patient showing progressive atrophy of the cerebellum and the middle cerebellar peduncle. The hot cross bun sign and the abnormal signal in the middle cerebellar peduncles became more pronounced over time.
case_images: fneur-13-979203-g0001.jpg
case_images: PMC9437433_01_fneur-13-979203-g0001.jpg
case_images: F1
case_images: T2 hyperintensity in the middle of the pons (Figure 1). There was no improvement with pulse glucocorticoid therapy and intravenous immunoglobulin, and she developed slurred speech and dysphagia. HCBs, with signal change in the bilateral middle cerebellar peduncles and widened cerebellar sulci (Figure 1).
case_images: The timeline of the present case.
case_images: fneur-13-979203-g0002.jpg
case_images: PMC9437433_01_fneur-13-979203-g0002.jpg
case_images: F2
case_images: The clinical course of the patient is summarized in Figure 2.