Naslov
Superficial hemosiderosis of the central nervous system: case report

Autori
Milat, Davorka ; Kalousek, Miljenko ; Varga, Đino ; Petelin Gadže, Željka ; Jurinović, Damir

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Skup
5th Congress of the Croatian Society of Radiology with international participation

Mjesto i datum
Opatija, Hrvatska, 14.10.2010. - 16.10.2010

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
superficial hemosiderosis; chronic subarachnoidal bleeding

Sažetak
Introduction: Superficial hemosiderosis of the central nervous system is a rare disorder induced by chronic subarachnoidal bleeding. A triad of symptoms including deafness, cerebellar ataxia and pyramidal syndrome is classic, but this syndrome is rarely connected with epilepsy. The source of chronic or recurrent bleeding into the subarachnoid space is detected in only 50 % of cases. T2-weighted gradient echo magnetic resonance imaging constitutes the diagnostic method of choice. Case presentation: We report a case of 70- year old retired senior medical nurse, with a history of arterial hypertension and cerebellar stroke at the age of 45, as well as head contusion and brain concussion in a traffic accident at the age of 46. In the past 10 years patient developed sensorineural hearing loss, gait ataxia, hyposmia, spastic paraparesis, urinary incontinence and typical occipital lobe seizures with secondary generalization confirmed with video-EEG monitoring. MRI provided the etiologic diagnosis based on typical low-density signals from the brain, brainstem, cerebellar and spinal cord surfaces on T1, T2 and gradient-echo weighted sequences (T2*) –hemosiderosis as a consequence of a previous subarachnoid haemorrhage. MSCT angiography of the head and neck blood vessels and well as spinal cord DSA did not reveal signs of aneurysms of arteriovenous malformation, what is a diagnostic challenge for clinicians. Conclusion: By observing clinical neurological, audiological and neuroradiological changes in this patient, the diagnosis of idiopathic superficial hemosiderosis of the central nervous system has been performed. We also want to poit out that this clinical entity should be considered as a cause of epilepsy.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA