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Case Reports in Emergency Medicine
Volume 2015 (2015), Article ID 970570, 4 pages
http://dx.doi.org/10.1155/2015/970570
Case Report

Bilateral Wallerian Degeneration of the Pontocerebellar Tracts

1Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
2Department of Neurology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey

Received 2 March 2015; Accepted 31 May 2015

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2015 Azad Hekimoglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Wallerian degeneration is the process of progressive demyelination and disintegration of the distal axonal segment following the transection of the axon or damage to the neuron. We report a case of a patient with Wallerian degeneration of the pontocerebellar tracts. She had a history of a pontine infarction 3 months ago. Wallerian degeneration of pontocerebellar tracts is seen bilaterally and symmetrically and is more visible in the middle cerebellar peduncles. Along the middle cerebellar peduncles hyperintense signal was detected on T2 weighted images. Wallerian degeneration of pontocerebellar tracts is a rare entity. It can occur bilaterally after a large pontine infarction. Magnetic resonance imaging seems to be the most effective technique for detection of Wallerian degeneration. In this report we want to mention this rare entity and to prevent wrong diagnosis.