AI Article Synopsis
- A 75-year-old woman experienced progressive hearing loss, gait issues, and cognitive decline over the past three years.
- MRI scans revealed hemosiderin deposits and significant cerebral and cerebellar atrophy, leading to a diagnosis of superficial siderosis of the central nervous system.
- Additionally, an MRI of the spine identified a myxopapillary ependymoma in the T11-L2 region, which was thought to be causing chronic subarachnoid hemorrhage affecting the brain's protective layers.
Article Abstract
A 75-year-old woman presented with a 3-year history of progressive hearing loss, gait ataxia, and cognitive impairment. Brain magnetic resonance imaging (MRI) with a time gradient echo sequence showed deposition of hemosiderin along the surface of the cerebral cortex, brainstem, and cerebellum, as well as severe atrophy in the diffuse cerebral cortex and cerebellum. We established the diagnosis of superficial siderosis of the central nervous system on the grounds of former pathognomonic MRI findings. The thoraco-lumbar spine MRI demonstrated a myxopapillary ependymoma in the T11-L2 spinal canal that was considered to be the cause of a chronic subarachnoid hemorrhage, affecting the leptomeninges and subpial layers of the central nervous system.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387640 | PMC |
| http://dx.doi.org/10.4235/agmr.2018.22.1.43 | DOI Listing |
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