H. Offenbacher et al., SUPERFICIAL SIDEROSIS OF THE CENTRAL-NERVOUS-SYSTEM - MRI FINDINGS AND CLINICAL-SIGNIFICANCE, Neuroradiology, 38, 1996, pp. 51-56
Citations number
20
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging","Clinical Neurology
We reviewed a 7-year series of brain MRI examinations to determine the
frequency and clinical significance of superficial siderosis of the c
entral nervous system (SS). SS was defined by widespread bilateral sig
nal loss at the surfaces of the cerebral or cerebellar hemispheres, th
e brain stem and the spinal cord on T2-weighted images. Clinical data
comprised a neurological examination of identified patients and a revi
ew of their case notes. Among 8843 consecutive studies we identified 1
3 (0.15%) patients with MRI evidence of SS. Only 2 had symp toms or si
gns characteristic of SS, such as cerebellar ataxia, hearing loss, mye
lopathy and dementia. Haemosiderin deposition was most widespread in b
oth symptomatic individuals. A definite cause for SS was detected in 9
patients (69%). None of them had a full clinical picture of SS. These
data indicate SS per se to be much more frequent than may be assumed
from the literature. It appears to become symptomatic only with extens
ive amounts of widespread iron deposition which develop preferentially
with cryptic or unidentified causes of bleeding.