Isolated spinal cord compression syndrome revealing delayed extensive superficial siderosis of the central nervous system secondary to cervical root avulsion

Nasri, Amina; Kacem, Imen; Sidhom, Youssef; Djebara, Mouna Ben; Gargouri, Amina; Gouider, Riadh

doi:10.1080/10790268.2017.1329053

Cited by 4 publications

(1 citation statement)

References 22 publications

(32 reference statements)

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“…Root avulsions may be seen with brachial plexus injury (Fig 4) and pseudomeningoceles (intracranial or spinal) may be present with trauma, commonly surgical (Figs 4-6). [20][21][22][23][24][25] Dural ectasia, at times without an obvious dural defect (as seen in Marfan syndrome, neurofibromatosis, and ankylosing spondylitis), may also be present in some patients with SS. 7,26 It is likely that in earlier reports patients classified as having an idiopathic SS may have had a spinal dural defect; imaging the entire neuraxis was not routine in the workup of SS.…”

Section: Etiologymentioning

confidence: 99%

Superficial Siderosis: A Clinical Review

Kumar

2021

Annals of Neurology

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Superficial siderosis of the central nervous system results from subpial hemosiderin deposition due to chronic low‐grade bleeding into the subarachnoid space. The confluent and marginal subpial hemosiderin is best appreciated on iron‐sensitive magnetic resonance imaging sequences. With widespread use of magnetic resonance imaging, the disorder is increasingly being recognized, including in asymptomatic individuals. Gait ataxia, often with hearing impairment is a common clinical presentation. A clinical history of subarachnoid hemorrhage is generally not present. A macrovascular pathology is generally not causative. The most common etiology is dural disease, often dural tears. Prior or less commonly ongoing symptoms of craniospinal hypovolemia may be present. Common etiologies for dural tears include disc disease and trauma, including surgical trauma. Patients with dural tears due to herniated and calcified discs often have a ventral intraspinal fluid collection due to cerebrospinal fluid leak. A precise identification of the dural tear relies on multimodality imaging. It has been speculated that chronic bleeding from fragile blood vessels around the dural tear may be the likely underlying mechanism. Surgical correction of the bleeding source is a logical therapeutic strategy. Clinical outcomes are variable, although neuroimaging evidence of successful dural tear repair is noted. The currently available data regarding use of deferiprone in patients with superficial siderosis is insufficient to recommend its routine use in patients. ANN NEUROL 2021;89:1068–1079

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Section: Etiologymentioning

confidence: 99%

Superficial Siderosis: A Clinical Review

Kumar

2021

Annals of Neurology

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Central cord syndrome: Mechanisms, clinical presentation, and management strategies

Charles,

Andrade,

Owolo

et al. 2024

Seminars in Spine Surgery

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Superficial siderosis misdiagnosed as idiopathic bilateral neurosensorial deafness

et al. 2018

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Superficial siderosis (SS) is a rare condition resulting from different sources of bleeding into the subpial space. The most common symptoms are: hypoacusia, ataxia, incontinence, dementia and parkinsonism. Since several neurodegenerative disorders may present with same clinical features, SS is often misdiagnosed. Here we present a case of SS misdiagnosed as idiopathic bilateral neurosensorial deafness.

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Isolated spinal cord compression syndrome revealing delayed extensive superficial siderosis of the central nervous system secondary to cervical root avulsion

Cited by 4 publications

References 22 publications

Superficial Siderosis: A Clinical Review

Superficial Siderosis: A Clinical Review

Central cord syndrome: Mechanisms, clinical presentation, and management strategies

Superficial siderosis misdiagnosed as idiopathic bilateral neurosensorial deafness

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