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A CASE OF SUPERFICIAL HEMOSIDEROSIS OF THE CENTRAL NERVOUS SYSTEM Kazuo Kinoshita 1 , Mikio Harada 1 , Toru Marubayashi 1 1Department of Neurosurgery, Kumamoto University Medical School pp.1431-1436
Published Date 1971/11/1
DOI https://doi.org/10.11477/mf.1406203018
  • Abstract
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The patient is a 23-year-old girl who developed gradually progressed deafness on both sides and visual disturbance followed by headache and gait disturbance. On first admission a neurological examination revealed bilateral advanced papilledema, nerve deafness, truncal ataxia and urinary retention. A lumbar puncture demonstrated blood-stained CSF. The posterior fossa was explored to show the cere-bellum and the medulla to be rusty brown in color and the foramen magnum to be obstructed. No tumor was seen. A Torkildsen procedure was done. Headache, truncal ataxia, and urinary retension were cleared up. The angiograms failed to show either vascular lesion or space taking mass. In following 3 years the patient had two attacks of subarachnoid hemorrhage in association with re-current truncal ataxia and urinary retention. The patient underwent a V-A shunt operation on the last admission. A piece of cerebral tissue was removed during operation and this showed hemo-siderosis in the superficial layer of the brain. The origin of the repeated subarachnoid hemorrhages was not known in this case.

This is the thirty seventh case of superficial hemosiderosis of the CNS to be reported in the world literature. It is agreed that the common cause of superficial hemosiderosis of the CNS is recurrent or persistent intraventricular or sub-arachnoid hemorrhages.


Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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