Abstract
We appreciate the comments made by Dr. Bhattacharjee regarding our Teaching Video NeuroImage.1 The cavernoma was an incidental feature on the brain CT conducted after the patient had a fall, and mild hypertrophy olivary degeneration (HOD) was already visible on the subsequent MRI. However, the palatal tremor (PT) was not diagnosed until 36 months after the first studies. Here, PT and HOD are the manifestation of denervation supersensitivity, secondary to lesions involving the unilateral supraolivary central tegmental tract (CTT). According to the anatomical and radiologic changes in HOD, the MRI would likely not detect pseudohypertrophy early on or after a substantial time following Mollaret triangle injury.2
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