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  • Reverse ‘hot cross bun’, ‘Mercedes-Benz’, ‘face of the giant panda and her cub’ signs with pontine infarcts: a radiological pandora

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Reverse ‘hot cross bun’, ‘Mercedes-Benz’, ‘face of the giant panda and her cub’ signs with pontine infarcts: a radiological pandora
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  1. Rajendra Singh Jain,
  2. Raghavendra Bakki Sannegowda,
  3. Rahul Jain,
  4. Swayam Prakash
  1. Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India
  1. Correspondence to Professor Rajendra Singh Jain, drrsjain{at}yahoo.com

https://doi.org/10.1136/bcr-2013-203447

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    Description

    Though uncommon, bilateral middle cerebellar peduncle (MCP) hyperintensities have been reported following pontine infarcts, in Wilson disease (WD) and due to other aetiologies.1 In WD, the ‘face of the giant panda' sign, internal capsule hyperintensities and rarely the ‘face of the panda cub’ sign due to pontine hyperintensities at the opening of the cerebral aqueduct into the fourth ventricle is described.2 The ‘hot cross bun’ (HCB) sign is seen in multisystem atrophy, spinocerebellar ataxia and rarely in cerebrotendinous xanthomatosis.3 We report a case of a hypertensive man with recurrent, sudden onset, …

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