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Surgical management of superficial siderosis following cervical nerve root avulsion
Author(s) -
Tapscott Stephen J.,
Eskridge Joseph,
Kliot Michel
Publication year - 1996
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.410400620
Subject(s) - superficial siderosis , medicine , siderosis , avulsion , cervical nerve , nerve root , surgery , anatomy , pathology , dementia , cerebral amyloid angiopathy , disease
Neurosensory hearing loss, ataxia, spastic paraparesis, sphincter dysfunction, somatosensory disturbances, and cognitive effects are associated with superficial siderosis of the central nervous system caused by chronic intrathecal bleeding. We describe superficial siderosis that developed more than a decade following traumatic brachial nerve root avulsion. While cerebrospinal fluid analysis indicated chronic intrathecal bleeding, angiography did not localize a specific source. Surgical intervention that included repair of a meningeal diverticulum and venous cauterization resulted in overall reduction, but not complete elimination, of central nervous system bleeding.