Hypermetabolism of Olivary Nuclei in a Patient with Progressive Ataxia and Palatal Tremor

Autor: Jaana Korpela, Juho Joutsa, Juha O. Rinne, Jörgen Bergman, Valtteri Kaasinen
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Tremor and Other Hyperkinetic Movements, Vol 5 (2015)
Druh dokumentu: article
ISSN: 2160-8288
DOI: 10.7916/D8PV6JMT
Popis: Background: The pathophysiology of the movement disorder progressive ataxia with palatal tremor (PAPT) is unclear.Case report: A 77-year-old male presented with dysarthria, ataxia, and 1–2 Hz palatal tremor. A diagnosis of probable sporadic PAPT was established. Brain magnetic resonance imaging was normal at the presymptomatic phase but later showed olivary hypertrophy. Brain [18F]-fludeoxyglucose (FDG) positron emission tomography (PET) showed bilateral hypermetabolism in the olivary nuclei. Discussion: This second reported patient with PAPT and FDG-PET shows that olivary hypertrophy is paralleled with hypermetabolism. The olivary nuclei pathology also appears to be temporally associated with symptom onset.
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