Central nervous system superficial siderosis following spinal surgery.
Superficial siderosis of the central nervous system is a rare progressive disease associated with hemosiderin deposition on the leptomeninges of the neuraxis. In addition to tumors and vascular lesions, dural sleeve pseudomeningoceles caused by brachial plexus avulsion injury may be the bleeding source in this disease. The authors describe a patient who underwent anterior cervical spine surgery for spinal cord compression due to the ossification of posterior longitudinal ligament. The operation was complicated by a dural tear and subsequent psedomeningocele formation. Nine years later, this patient developed superficial siderosis. The possible mechanisms involved in the development of superficial siderosis in this patient will be discussed.
Cohen-Gadol
Aaron A
AA
Departments of Neurologic Surgery and Neurology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55902, USA. cohengadol.aaron@mayo.edu
Atkinson
Patty P
PP
Krauss
William E
WE
D016025:Bone Transplantation; D001921:Brain / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D020233:Gait Disorders, Neurologic / Q000209:etiology* / Q000601:surgery; D006486:Hemosiderosis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D017846:Longitudinal Ligaments / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008588:Meningocele / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D009192:Myelography; D009460:Neurologic Examination; D017887:Ossification of Posterior Longitudinal Ligament / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012806:Siderosis / Q000175:diagnosis / Q000209:etiology*; D013116:Spinal Cord / Q000473:pathology; D013117:Spinal Cord Compression / Q000601:surgery*; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000209:etiology*; D013123:Spinal Fusion; D013345:Subarachnoid Hemorrhage / Q000150:complications; D014057:Tomography, X-Ray Computed