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논문KCI 등재

특발천막하표재철침착증에서 앙와위 자세유지의치료효과

Symptomatic Relief of Idiopathic Infratentorial Superficial Siderosis with Maintaining Supine Position

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초록

Superficial siderosis results from the deposition of hemosiderin in subpial layers of the central nervous system following hemorrhage in subarachnoid spaces. Infratentorial superficial siderosis (ISS) presents with unique clinical features including progressive hearing loss, ataxia, and myelopathy, and the most common cause of idiopathic ISS is dural abnormality. Here we report a case of idiopathic ISS with radiological findings of spontaneous intracranial hypotension, whose clinical symptoms of ISS including cerebellar dysfunction improved after supine position was maintained for 2 months.

Abstract

Superficial siderosis results from the deposition of hemosiderin in subpial layers of the central nervous system following hemorrhage in subarachnoid spaces. Infratentorial superficial siderosis (ISS) presents with unique clinical features including progressive hearing loss, ataxia, and myelopathy, and the most common cause of idiopathic ISS is dural abnormality. Here we report a case of idiopathic ISS with radiological findings of spontaneous intracranial hypotension, whose clinical symptoms of ISS including cerebellar dysfunction improved after supine position was maintained for 2 months.

참고문헌 (7)

  1. Wilson D, "Infratentorial superficial siderosis: classification, diagnostic criteria, and rational investigation pathway", Ann Neurol, 81, pp.333~343 (2017)[DOI]
  2. Schievink WI, "Chronic cerebellar hemorrhage in spontaneous intracranial hypotension: association with ventral spinal cerebrospinal fluid leaks: clinical article", J Neurosurg Spine, 15, pp.433~440 (2011)[DOI]
  3. Holle D, "Association of superficial siderosis of the central nervous system and low pressure headache", J Neurol, 255, pp.1081~1082 (2008)[DOI]
  4. Kumar N, "Superficial siderosis and csf hypovolemia: the defect (dural) in the link", Neurology, 69, pp.925~926 (2007)[DOI]
  5. Kumar N, "Superficial siderosis: sealing the defect", Neurology, 72, pp.671~673 (2009)[DOI]
  6. Stabile A, "Idiopathic infratentorial superficial siderosis of the central nervous system: case report and review of literature", Neurol Neurochir Pol, 52, pp.102~106 (2018)
  7. Egawa S, "Dural closure for the treatment of superficial siderosis", J Neurosurg Spine, 18, pp.388~393 (2013)[DOI]

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