This pt had HIV. I didn't remember (or ever learn???) a differential for the "Hot Crossed Bun" sign. Always thought it was multiple system atrophy. #EmoryRadCOTD
There is variant of JC virus that will attack the granule cells in the cerebellum causing a lot of the same symptoms. Here we demonstrate the need for good clinical history & a f%^&* smart neurologist. We see a plethora of PML, IRIS, HIV encephalopathy but this is new one for me
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