Superficial Siderosis of Central Nervous System as Primary Clinical Manifestation Secondary to Intradural Thoracic Disk Herniation

World Neurosurg. 2018 Nov:119:40-44. doi: 10.1016/j.wneu.2018.07.117. Epub 2018 Jul 23.

Abstract

Background: Superficial siderosis of the central nervous system is a rare neurologic disorder characterized by the superficial deposition of hemosiderin in the subpial layer resulting in iron-related progressive neurodegeneration.

Case description: In this report, we present a case of superficial siderosis of the central nervous system secondary to an intradural thoracic disk herniation causing a cerebrospinal fluid (CSF) leak.

Conclusions: The patient was successfully treated with T6-T8 transpedicular partial corpectomy, as well as diskectomy with decompression followed by watertight closure of the CSF leak. Intraoperative watertight closure of the CSF leak was achieved.

Keywords: Cerebrospinal fluid leak; Intradural disk herniation; Superficial siderosis; Thoracic disk herniation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cerebrospinal Fluid Leak / diagnostic imaging
  • Cerebrospinal Fluid Leak / etiology
  • Cerebrospinal Fluid Leak / surgery
  • Female
  • Humans
  • Intervertebral Disc Displacement / complications*
  • Intervertebral Disc Displacement / diagnostic imaging
  • Intervertebral Disc Displacement / surgery
  • Neurodegenerative Diseases / diagnostic imaging
  • Neurodegenerative Diseases / etiology*
  • Neurodegenerative Diseases / surgery
  • Siderosis / diagnostic imaging
  • Siderosis / etiology*
  • Siderosis / surgery
  • Spinal Cord Diseases / diagnostic imaging
  • Spinal Cord Diseases / etiology*
  • Spinal Cord Diseases / surgery
  • Thoracic Vertebrae