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. 2023 Jul 26;14:1219324. doi: 10.3389/fneur.2023.1219324

Figure 3.

Figure 3

MRI of brain and cervical cord in adult-onset Alexander disease. T2W axial sections with marked atrophy and intrinsic signal changes in the upper cervical cord (A) and lower medulla (B) along with symmetric signal changes in the dentate hilum of the cerebellum [arrowhead in (B)]. T2W sagittal FLAIR imaging demonstrates signal changes and atrophy of the medulla and upper cervical cord with a “tad pole” appearance (C). T2W sagittal spine imaging (D) reveals diffuse atrophy of the cervical cord. T2W FLAIR axial (E, F) and sagittal (G) demonstrate signal changes along the wall of lateral ventricles predominantly along the frontal horns.