A 60 years old male patient came with complaint of spasticity in bilateral lower limbs. MRI was performed and shown below.
Correct Answer: Multiple systemic atrophy- predominant cerebellar ataxia
Description: 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
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