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CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2018; 54(03): 171-174
DOI: 10.1055/s-0040-1712843
Case Report

Reverse 'Hot Cross Bun' Sign in Primary Progressive Aphasia - An Atypical MRI Feature

Rajendra Singh Jain
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan
,
Kamlesh Kumar
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan
,
Ashwini Hiremath
Department of Neurology, Sawai Man Singh Medical College, Jaipur, Rajasthan
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ABSTRACT

Primary progressive aphasia (PPA) is thought to be a disorder of focal cortical degeneration which occurs as a result of lobar atrophy of dominant frontal and temporal lobe. We report a case of a 78 year old male patient presenting with progressive language affection predominantly and clinically diagnosed as PPA but magnetic resonance imaging (MRI) brain showed an unusual finding of reverse 'hot cross bun' sign in pons in T2 weighted (T2W) / diffusion weighted image (DWI)/ T2 fluid attenuated inversion recovery (FLAIR) axial views. This is the first case report of reverse 'hot cross bun' sign in a case of PPA to the best of our knowledge.

Keywords

Primary progressive aphasia - reverse 'hot cross bun' sign - 'hot cross bun' sign


Publication History

Article published online:
09 May 2020

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