Rinsho Shinkeigaku (Clinical Neurology)

Brief Clinical Note

A case of superficial siderosis with repeated episodes of epilepsy

Yuka Machino, M.D.1)2), Shigeho Nakayama, M.D.1), Shingo Takashima, M.D.2) and Hidekazu Tomimoto, M.D.2)

1)Department of Neurology, Mie National Hospital
2)Department of Neurology, Mie University Graduate School of Medicine, Mie University

We report a patient with superficial siderosis that repeated episodes of epilepsy. The patient was a 62 year old male, and underwent an operation for the tumor of the spinal cord at 22 years of age. He had become deaf at 50 years of age, and repeated loss of consciousness at 59 years of age and later. Neurological examination revealed cerebellar ataxia and bilateral sensorineural deafness in addition to paraplegia, which was caused by the spinal cord tumor. Brain MRI showed low intensity rim around the brain stem, cerebellar hemisphere, and inferior aspects of the temporal and frontal lobes, being consistent with superficial siderosis. Hemosiderin deposition for an extended period was considered to contribute to the pathogenesis of epilepsy.
Full Text of this Article in Japanese PDF (508K)

(CLINICA NEUROL, 50: 108|110, 2010)
key words: Superficial siderosis, epilepsy

(Received: 22-Jun-09)