Superficial Siderosis of Central Nervous System Mimicking Multiple Sclerosis

Abstract

The demonstration of CSF oligoclonal bands in the reported patient implies that inflammation might be involved in the pathogenesis of superficial siderosis. The diagnosis of this newly recognizable entity needs a high clinical suspicion, but further research is needed to fully elucidate the involved mechanisms.

Superficial siderosis of central nervous system in patients with brachial plexus injury

“…Patient 1: A 20-year-old man was investigated for severe headache with nausea and vomit. He reported a traumatic right cervicobrachial injury at age four and a recurrent headache sometimes associated with visual aura since he was 16. Neurological examination at admission showed ideomotor slowing, weakness in finger abduction-adduction and thumb opposition (MRC 4), hypotrophy of intrinsic right hand muscles and reduction of sensory modalities in the medial aspect of right hand.…”