When the lesion is in the
dentate nucleus or superior cerebellar peduncle, the olivary degeneration is contralateral.
The sections include (1) middle frontal gyrus; (2) superior and middle temporal gyri; (3) inferior parietal lobule; (4) occipital cortex; (5) anterior cingulate gyrus; (6) amygdala; (7) hippocampus with dentate gyrus and entorhinal cortex; (8) basal ganglia at the level of the anterior commissure with caudate, putamen, globus pallidus, and the nucleus basalis of Meynert; (9) thalamus with subthalamic nucleus; (10) cerebellar cortex and
dentate nucleus; (11) midbrain with substantia nigra; (12) pons with locus coeruleus; (13) and medulla with dorsal motor nucleus of the vagus and hypoglossal nucleus.
KEY WORDS:
dentate nucleus ,hyperintense lesions, solvents
The brainstem was grossly unremarkable, although multiple red-brown discolorations averaging 7 mm in greatest diameter were identified in the
dentate nucleus bilaterally.
The melanotic pigmentation of otherwise normal astrocytes and ependymal cells has occasionally been reported as an incidental finding in the
dentate nucleus, lining of glioependymal cysts, and in the filum terminale.[2,23] Melanosis of cerebellar and brainstem astrocytes has been described in systemic degenerative processes.[24]