Pineal Germinoma with Periaqueductal Subependymal Spread: A Rare Cause of Bilateral Hypertrophic Olivary Degeneration
HOD is an uncommon pathologic entity with specific clinical and radiologic patterns caused by an injury to the dentato-rubro-olivary pathway called the TGM. The described causes of injury to the TGM include infarction, demyelination, hemorrhage, trauma, or surgery. We describe a case
of pineal germinoma infiltrating the bilateral red nuclei, which is a rare cause of bilateral HOD.
Keywords: FLAIR = fluid-attenuation inversion recovery; HOD = hypertrophic olivary degeneration; TGM = triangle of Guillain and Mollaret
Document Type: Research Article
Publication date: 01 December 2012
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