Superficial siderosis from spinal teratoma

Yoshida, Shigeo; Shidoh, Mitsuo; Matsumura, Shigeki; Ohyama, Hiroshi

doi:10.1016/s0140-6736(02)11521-2

Cited by 5 publications

(2 citation statements)

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“… 1 , 6 – 8) The most common CNS tumor is spinal ependymoma, which includes myxopapillary ependymoma as a source of hemorrhage in superficial siderosis. 9 – 15) Various other spinal, 3 , 5 , 16 – 23) and intracranial tumor pathologies have been reported as causes of superficial siderosis, both pre-, 24 – 31) and postoperatively ( Table 1 ). 4 , 6 , 7 , 18 , 32 – 39) Here, we report an extremely rare case of superficial siderosis associated with purely third ventricle craniopharyngioma, and review previously reported cases of superficial siderosis associated with CNS tumors.…”

Section: Introductionmentioning

confidence: 99%

Superficial Siderosis of the Central Nervous System Caused by Hemorrhagic Intraventricular Craniopharyngioma: Case Report and Literature Review

Tosaka

Sato

Amaki

et al. 2015

Neurol. Med. Chir.(Tokyo)

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Superficial siderosis is a rare condition caused by hemosiderin deposits in the central nervous system (CNS) due to prolonged or recurrent low-grade bleeding into the cerebrospinal fluid (CSF). CNS tumor could be one of the sources of bleeding, both pre- and postoperatively. We report an extremely rare case of superficial siderosis associated with purely third ventricle craniopharyngioma, and review previously reported cases of superficial siderosis associated with CNS tumor. A 69-year-old man presented with headache, unsteady gait, blurred vision, and progressive hearing loss. Brain magnetic resonance (MR) imaging with gadolinium revealed a well enhanced, intraventricular mass in the anterior part of the third ventricle. T2*-weighted gradient echo (GE) MR imaging revealed a hypointense rim around the brain particularly marked within the depth of the sulci. Superficial siderosis was diagnosed based on these findings. The tumor was diffusely hypointense on T2*-weighted GE imaging, indicating intratumoral hemorrhage. The lateral ventricles were dilated, suggesting hydrocephalus. [18F]fluorodeoxyglucose positron emission tomography revealed increased uptake in the tumor. The whole brain surface appeared dark ocher at surgery. Histological examination showed the hemorrhagic tumor was papillary craniopharyngioma. His hearing loss progressed after removal of the tumor. T2*-weighted GE MR imaging demonstrated not only superficial siderosis but also diffuse intratumoral hemorrhage in the tumor. Superficial siderosis and its related symptoms, including hearing loss, should be considered in patients with hemorrhagic tumor related to the CSF space. Purely third ventricle craniopharyngioma rarely has hemorrhagic character, which could cause superficial siderosis and progressive hearing loss.

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Section: Introductionmentioning

confidence: 99%

Superficial Siderosis of the Central Nervous System Caused by Hemorrhagic Intraventricular Craniopharyngioma: Case Report and Literature Review

Tosaka

Sato

Amaki

et al. 2015

Neurol. Med. Chir.(Tokyo)

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“…Cervical nerve root avulsion similarly has been implicated as an aetiological agent [8]. A history of trauma or intradural surgery should thus be considered in all cases of superficial siderosis [9,10]. Cerebral amyloid angiopathy has also been linked with haemosiderin deposition associated with this neurological condition [4].…”

Section: Discussionmentioning

confidence: 99%