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A Case of Idiopathic Infratentorial Superficial Siderosis

  • Shin, Daeun (Department of Neurology, Kyungpook National University Hospital) ;
  • Yang, Seok-Yul (Department of Neurology, Kyungpook National University Hospital) ;
  • Kim, Youngwook (Department of Neurology, Kyungpook National University Hospital) ;
  • Ryu, Ho-Sung (Department of Neurology, Kyungpook National University Hospital) ;
  • Lee, Hoseok (Department of Radiology, Kyungpook National University Hospital)
  • Received : 2019.09.18
  • Accepted : 2019.11.11
  • Published : 2020.03.30

Abstract

Superficial siderosis is attributed to hemosiderin deposition in the subpial layers of the nervous system. The clinical features of infratentorial superficial siderosis (ISS) are hearing loss, cerebellar ataxia, and corticospinal tract signs and the most common cause of idiopathic ISS is a dural defect. As magnetic resonance imaging (MRI) has advanced, the diagnosis of infratentorial superficial siderosis can be confirmed by unique radiological findings in MRI. Here, we report on a female patient diagnosed with idiopathic ISS by means of clinical symptoms and radiological findings.

Keywords

References

  1. Kumar N, Cohen-Gadol AA, Wright RA, Miller GM, Piepgras DG, Ahlskog JE. Superficial siderosis. Neurology 2006;66:1144-1152 https://doi.org/10.1212/01.wnl.0000208510.76323.5b
  2. Wilson D, Chatterjee F, Farmer SF, et al. Infratentorial superficial siderosis: classification, diagnostic criteria, and rational investigation pathway. Ann Neurol 2017;81:333-343 https://doi.org/10.1002/ana.24850
  3. Kumar N. Neuroimaging in superficial siderosis: an indepth look. AJNR Am J Neuroradiol 2010;31:5-14 https://doi.org/10.3174/ajnr.A1628
  4. Hamill RC. Report of a case of melanosis of the brain, cord, and meninges. J Nerv Ment Dis 1908;35:594 https://doi.org/10.1097/00005053-190809000-00027
  5. Iwanowski L, Olszewski J. The effects of subarachnoid injections of iron-containing substances on the central nervous system. J Neuropathol Exp Neurol 1960;19:433-448 https://doi.org/10.1097/00005072-196007000-00010
  6. Offenbacher H, Fazekas F, Schmidt R, Kapeller P, Fazekas G. Superficial siderosis of the central nervous system: MRI findings and clinical significance. Neuroradiology 1996;38 Suppl 1:S51-56 https://doi.org/10.1007/BF02278119
  7. Uchino A, Aibe H, Itoh H, Aiko Y, Tanaka M. Superficial siderosis of the central nervous system. Its MRI manifestations. Clin Imaging 1997;21:241-245 https://doi.org/10.1016/S0899-7071(96)00050-2
  8. Fearnley JM, Stevens JM, Rudge P. Superficial siderosis of the central nervous system. Brain 1995;118 ( Pt 4):1051-1066 https://doi.org/10.1093/brain/118.4.1051
  9. Mittal S, Wu Z, Neelavalli J, Haacke EM. Susceptibilityweighted imaging: technical aspects and clinical applications, part 2. AJNR Am J Neuroradiol 2009;30:232-252 https://doi.org/10.3174/ajnr.A1461
  10. Charidimou A, Linn J, Vernooij MW, et al. Cortical superficial siderosis: detection and clinical significance in cerebral amyloid angiopathy and related conditions. Brain 2015;138:2126-2139 https://doi.org/10.1093/brain/awv162
  11. Kumar N. Superficial siderosis: associations and therapeutic implications. Arch Neurol 2007;64:491-496 https://doi.org/10.1001/archneur.64.4.491