Abstract | OBJECTIVE AND IMPORTANCE: CLINICAL PRESENTATION: Patients most commonly present with progressive sensorineural hearing loss, cerebellar ataxia, and pyramidal signs. Magnetic resonance imaging diagnosis may precede symptom development, however. In two of our cases, superficial siderosis was identified on magnetic resonance imaging scans in the absence of clinical symptoms. INTERVENTION: Magnetic resonance imaging studies revealed hemosiderin deposition, characteristic of superficial siderosis, and multiple cavernous malformations in all three cases. Surgical intervention was not pursued. CONCLUSION: We conclude that patients with multiple cavernous malformations and those with perisubarachnoid lesions are at risk for the development of superficial siderosis. Clinicians should recognize the radiographic appearance of superficial siderosis and its clinical presentation in patients with vascular malformations.
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Authors | K W Li, R I Haroun, R E Clatterbuck, K Murphy, D Rigamonti |
Journal | Neurosurgery
(Neurosurgery)
Vol. 48
Issue 5
Pg. 1147-50; discussion 1150-1
(May 2001)
ISSN: 0148-396X [Print] United States |
PMID | 11334283
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Review)
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Chemical References |
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Topics |
- Adult
- Brain
(metabolism)
- Central Nervous System Vascular Malformations
(complications, diagnosis)
- Female
- Hemosiderin
(metabolism)
- Humans
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Siderosis
(etiology, metabolism)
- Tissue Distribution
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