Hypertrophic Olivary Degeneration After Pontine Hemorrhage: A Case ReportYingxin Yu and Xiaokun Qi*
Department of Neurology, Navy General Hospital, PR China
- *Corresponding Author:
- Xiaokun Qi
Department of Neurology
Navy General Hospital, PR China
E-mail: [email protected]
Received June 12, 2015; Accepted April 12, 2016; Published April 17, 2016
Citation: Yu Y, Qi X (2016) Hypertrophic Olivary Degeneration After Pontine Hemorrhage: A Case Report. J Clin Case Rep 6:762. doi:10.4172/2165-7920.1000762
Copyright: © 2016 Yu Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Hypertrophic olivary degeneration (HOD) is a rarely neurologic disease, occurring after damage to the dentato-rubro-olivary pathway. Case presentation: A 50-year-old hypertensive man suffered pontine hemorrhage resulting in numerous neurological deficits. Neurologic examination 4 months after the hemorrhage showed mild to moderate improvement. 8 months after the hemorrhage, the patient developed truncal and limb tremors, unsteady gait and dysarthria. Magnetic resonance showed increasing bilateral hypertrophic olivary degeneration. Administration of clonazepam and levodopa were ineffective for symptom relief. Conclusion: This case was presented in order to describe the clinical manifestations of HOD and to recognize the possibility of hypertrophic olivary degeneration after the pontomesencephalic stroke.