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Multiple system atrophy, cerebellar type

Legend: Video shows the 56-year-old woman who developed imbalance and walked “as if she were drunk.” She veered toward one side while walking, had two episodes of syncope, and her speech and hand dexterity were subsequently involved. On examination, she has hypomimic facial expression, hypermetric saccades, dysmetria on finger-nose-finger tests, bradykinesia in finger taps, and ataxic gait with variable footsteps. Her postmortem brain pathology demonstrated glial cytoplasmic inclusions along with olivopontocerebellar atrophy, confirming the diagnosis of multiple system atrophy, cerebellar type.

Duration: 1:00

Associated with: CONTINUUM: Lifelong Learning in Neurology. 25(4):1036-1054, August 2019

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