Teaching Video NeuroImages: Olivary enlargement and pharyngeal nystagmus

A 77-year-old woman diagnosed with a pontine cavernoma developed progressive difficulty swallowing. A videofluoroscopic swallowing study showed low-frequency rhythmic contractions of the soft palate and upper larynx (video at Neurology.org). Brain MRI revealed hypertrophy in the right inferior olivary nucleus (figure).

Source: Neurology - September 25, 2017 Category: Neurology Authors: Finlay, J. B., Yacovino, D. A. Tags: MRI, Clinical neurology examination, Nystagmus RESIDENT AND FELLOW SECTION Source Type: research