Superficial siderosis of the central nervous system: case report.

Suslin, A. S., Kremneva E. I., Krotenkova I. A., Dreval M. V., Konovalov R. N., Sergeeva A. N., Arestov S. O., Gerasimova E. V., Guscha A. O., Krotenkova M. V.

Superficial siderosis of the central nervous system is a syndrome caused by deposition of he-mosiderin in the subpial layers of the central nervous system, occurring as a result of recur-rent asymptomatic or symptomatic bleeding into the subarachnoid space. We report a case of superficial siderosis in a 41-year-old woman who presented with pain on the back surface of both legs, vertigo, sensorineural hearing loss. The diagnosis of superficial siderosis on brain MRI led to further CNS scanning with detection of a spinal ep-endymoma at L2–L3 level, compressing the cauda equina. Total resection of the tumor stopped the progression of the neurological deterioration. Our report underlies the im-portance of whole CNS MR-scanning in patients with brain superficial siderosis in order to find the possible cause of repeated bleedings for successful treatment and prognosis im-provement.

Scientific center of neurology. Moscow, Russia

Keywords: superficial siderosis of the central nervous system, MRI, spinal ependymoma.

Corresponding author:  Suslin A.S., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Suslin, A. S., Kremneva E. I., Krotenkova I. A., Dreval M. V., Konovalov R. N., Sergeeva A. N., Arestov S. O., Gerasimova E. V., Guscha A. O., Krotenkova M. V. Superficial siderosis of the central nervous system: case report. REJR 2018; 8(4):242-247. DOI:10.21569/2222-7415-2018-8-4-242-247.

 

Received:        25.10.18 Accepted:       11.11.18