SURGICAL-MANAGEMENT OF SUPERFICIAL SIDEROSIS FOLLOWING CERVICAL NERVEROOT AVULSION

Neurosensory hearing loss, ataxia, spastic paraparesis, sphincter dysf unction, somatosensory disturbances, and cognitive effects are associa ted with superficial siderosis of the central nervous system caused by chronic intrathecal bleeding, We describe superficial siderosis that developed more than a decade following traumatic brachial nerve root a vulsion. While cerebrospinal fluid analysis indicated chronic intrathe cal bleeding, angiography did not localize a specific source, Surgical intervention that included repair of a meningeal diverticulum and ven ous cauterization resulted in overall reduction, but not complete elim ination, of central nervous system bleeding.