Idiopathic superficial siderosis of the central nervous system View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-02-25

AUTHORS

Shakila Meshkat, Parnia Ebrahimi, Abbas Tafakhori, Aidin Taghiloo, Sajad Shafiee, Amir Salimi, Vajiheh Aghamollaii

ABSTRACT

BackgroundRegardless of the cause of the superficial siderosis (SS) disease, which is bleeding, the source of bleeding cannot be found in some cases.Case presentationIn this article, we report two cases with idiopathic SS. Case 1 presented with bilateral hearing loss, cognitive impairment, sleep disturbances, and tremors. Case 2 presented with sensory neural hearing loss, ataxia, and spastic paraparesis. In both cases, brain MRI indicated evidence of SS. CT myelogram and SPECT with labeled RBC couldn’t help finding the source of occult bleeding.ConclusionSS is a rare central nervous system disease caused by the deposition of hemosiderin in the brain and spinal cord, which results in the progression of neurological deficits. The cause of this hemorrhage is often subarachnoid haemorrhage, intracranial surgery, carcinoma, arteriovenous malformation, nerve root avulsion, and dural abnormality. The condition progresses slowly and, by the time diagnosis is confirmed, the damage is often irreversible. In our cases, brain MRI clarified the definitive diagnosis, but we could not find the source of bleeding. SS should be considered in cases with ataxia and hearing loss, even if no source of bleeding is found. More... »

PAGES

9

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40673-021-00133-5

DOI

http://dx.doi.org/10.1186/s40673-021-00133-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1135749370

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33632336


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