Wing Beating Tremor and Double Panda Sign - Manoj

He showed horizontal GEN during rightward gaze and catch-up saccades during bedside HITs Brain MRI showed “double-panda” sign Cerebrospinal fluid analysis

An MRI brain was performed which demonstrates the 'Panda sign' in the midbrain from axial T2-weighted imaging There is normal

panda sign Interestingly, MRI also showed multiple radiological signs Though the HCB sign is described due to cruciform hyperintensity in the pons resulting from the

pandaapp In our patient, the brain MRI shows the tegmental hyperintensity and 'face of giant panda' sign in midbrain, CPM-like changes with 'trident'