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This degeneration is unique, because it causes hypertrophy of the ION rather than atrophy. Dear Editor in Chief, Hypertrophic olivary degeneration (HOD) is a rare phenomenon that can occur after different insults to the so-called Guillain-Mollaret triangle (GMT), which is composed by the inferior olivary nucleus (ION), the ipsilateral red nucleus (RN) and the contralateral dentate nucleus (DN). Graph: Supplementary file1 (MP4 6451 KB) Abbreviations DN Dentate nucleus GMT Guillain-Mollaret triangle HOD Hypertrophic olivary degeneration ION Inferior olivary nucleus PTSs Painful tonic spasms RN Red nucleus Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. [Extracted from the article]