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A challenging case presentation of multiple system atrophy cerebellar type: A rare case report from Somalia

Year: 2024

Type: article

Abstract: Multiple system atrophy is a rare and quickly progressing neurological condition characterized by autonomic failure, parkinsonism, or cerebellar ataxia. It is classified into two subtypes: MSA with predominant parkinsonism (MSA-P) and MSA with predominant cerebellar ataxia (MSA-C). We are presenting here a 54-year-old male with parkinsonism, ataxia, and dysarthria. He was diagnosed with parkinson disease and was given a maximum dose of levodopa but has not responded. After a close neurological evaluation with magnetic resonance imaging of the brain, which shows atrophy of the cerebellum and a brainstem with a hot cross bun sign of the pons, suggestive of multiple system atrophy, he was diagnosed with multiple system atrophy cerebellar type, which is the first time to have this diagnosis in Somalia, which is a low-resource country.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2024.08.145

Authors: Nor Osman Sidow, Abdiwahid Ahmed Ibrahim, Ismail Gedi Ibrahim, Mohamed Sheikh Hassan, Said Abdi Mohamed

Institutions: Jazeera University, Mogadishu Somali Turkish Training and Research Hospital

Language: English

Topic: Parkinson's Disease Mechanisms and Treatments

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550