Superficial cerebral and spinal haemosiderosis caused by secondary tethered cord syndrome after resection of a spinal lymphoma.
Superficial haemosiderosis results from chronic subarachnoid haemorrhage during which haemosiderin is deposited in the leptomeninges around the brain, spinal cord and cranial nerves. We describe an exceptional case of superficial haemosiderosis characterised by two special aspects. (1) The cause was a secondary tethered cord syndrome due to dural adhesions which had developed 8 years after resection of a thoracic lymphoma and (2) an explorative neurosurgical procedure with complete untethering caused normalisation of the cerebrospinal fluid and stopped disease progression.
Zingler
Vera C
VC
Department of Neurology, Ludwig-Maximilians University, Klinikum Grosshadern, D-81377 Munich, Germany. vzingler@med.uni-muenchen.de
Grau
Stefan
S
Tonn
Jörg-Christian
JC
Jahn
Klaus
K
Linn
Jennifer
J
Brandt
Thomas
T
Strupp
Michael
M
D001927:Brain Diseases / Q000209:etiology; D006486:Hemosiderosis / Q000209:etiology*; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009436:Neural Tube Defects / Q000150:complications* / Q000209:etiology*; D011183:Postoperative Complications; D013122:Spinal Diseases / Q000209:etiology; D013125:Spinal Neoplasms / Q000601:surgery*; D013997:Time Factors