Superficial siderosis: A case report of underdiagnosed disorder

dc.authorid0009-0000-0885-5562
dc.authorid0000-0002-8715-1893
dc.authorid0000-0001-9925-5422
dc.authorid0000-0001-8585-2090
dc.contributor.authorTalibov, Tural
dc.contributor.authorİnci, Meltem
dc.contributor.authorBarburoğlu, Mehmet
dc.contributor.authorSencer, Altay
dc.contributor.authorÇoban, Oğuzhan
dc.date.accessioned2024-10-31T10:05:52Z
dc.date.available2024-10-31T10:05:52Z
dc.date.issued2024
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractSuperficial siderosis (SS) is caused by subpial hemosiderin deposition due to chronic low-grade bleeding into the subarachnoid space. Dural tears are the most common etiology. Slowly progressive gait ataxia and hearing impairment are common clinical manifestations. Brain magnetic resonance imaging (MRI) shows linear superficial hypointensity on the T2 weighted images and gradient echo. The therapeutic approach is surgical repair of the bleeding source. The patient presented with progressive hearing loss and ataxia. Neurological examination revealed bilateral hearing loss, nystagmus, dysarthria, brisk deep tendon reflexes, and severe ataxia. Brain MRI showed linear superficial siderosis in the cerebrum, cerebellum, and brain stem. Spinal MRI showed ventral epidural cerebrospinal fluid (CSF) collection and disc-osteophyte complex. Six months after the surgical repair of the dural defect, the patient's neurological examination demonstrated improvement in ataxia and dysarthria. The patient was able to walk without any assistance. Surgical repair of the underlying bleeding source may be beneficial in preventing the progression and improving the symptoms of superficial siderosis SS. This case suggests that SS symptoms are potentially reversible by surgical treatment of the underlying spinal CSF leak after a long disease course.
dc.identifier.citationTalibov, T., İnci, M., Barburoğlu, M., Sencer, A., & Çoban, O. (2024). Superficial siderosis: A case report of underdiagnosed disorder. Cureus, 16(9), pp. 1-4 https://doi.org/10.7759/cureus.69768
dc.identifier.doi10.7759/cureus.69768
dc.identifier.endpage4
dc.identifier.issn2168-8184
dc.identifier.issue9
dc.identifier.pmidPMID: 39429263
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.7759/cureus.69768
dc.identifier.urihttps://hdl.handle.net/20.500.13055/838
dc.identifier.volume16
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherESCI - Emerging Sources Citation Index
dc.institutionauthorTalibov, Tural
dc.institutionauthorid0009-0000-0885-5562
dc.language.isoen
dc.publisherSpringer Nature
dc.relation.ispartofCureus
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCervical Dural Defect
dc.subjectProgressive Ataxia
dc.subjectProgressive Hearing Loss
dc.subjectSpinal Csf Leak
dc.subjectSuperficial Siderosis
dc.titleSuperficial siderosis: A case report of underdiagnosed disorder
dc.typeCase Report
dspace.entity.typePublication

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