A 60 years old male patient came with complaint of spasticity in bilateral lower limbs. MRI was performed and shown below.
HOT CROSS BUN SIGN- cross shaped hyperintensity in the centre of pons. It is a classic feature of Multisystem atrophy type - C. Multisystem atrophy type - c has involvement of pontocerebellar pathway
Multiple systemic atrophy- predominant parkinsonism
Progressive supranuclear palsy
Multiple systemic atrophy- predominant cerebellar ataxia
Lewy body dementia
Neuroradiology