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Year : 2021  |  Volume : 69  |  Issue : 5  |  Page : 1489-

Half Wine Glass Appearance in Early Primary Lateral Sclerosis

Jidhin Raj1, Jacob George1, AA Harris1, Neethu Suresh1, Gourishankar2,  
1 Department of Neurology, Government Medical College, Kottayam, Kerala, India
2 Department of Radiology, Government Medical College, Kottayam, Kerala, India

Correspondence Address:
Jidhin Raj
Department of Neurology, Government Medical College, Kottayam - 686 008, Kerala
India




How to cite this article:
Raj J, George J, Harris A A, Suresh N, Gourishankar. Half Wine Glass Appearance in Early Primary Lateral Sclerosis.Neurol India 2021;69:1489-1489


How to cite this URL:
Raj J, George J, Harris A A, Suresh N, Gourishankar. Half Wine Glass Appearance in Early Primary Lateral Sclerosis. Neurol India [serial online] 2021 [cited 2022 Jan 27 ];69:1489-1489
Available from: https://www.neurologyindia.com/text.asp?2021/69/5/1489/329618


Full Text



A 42-year-old gentleman presented with progressive loss of dexterity and pyramidal weakness of right upper limb for three months duration. There was no cognitive decline, tongue/limb muscle atrophy, fasciculation or sensory loss. Our patient fulfilled the criteria for primary lateral sclerosis[1] except the duration criteria of three years.

Wine glass appearance[2] has been previously described in primary lateral sclerosis with white matter confluent symmetrical hyperintensities of both corticospinal tracts in the coronal section. The hyperintensities of the corticospinal tract of a single side may be considered as an early sign of primary lateral sclerosis [Figure 1].{Figure 1}

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Pringle CE, Hudson AJ, Munoz DG, Kiernan JA, Brown WF, Ebers GC. Primary lateral sclerosis. Clinical features, neuropathology and diagnostic criteria. Brain 1992;115:495-520.
2Kuruvilla A, Joseph S. 'Wine Glass' appearance: A unique MRI observation in a case of primary lateral sclerosis. Neurol India 2002;50:306-9.