Isolated spinal cord compression syndrome revealing delayed extensive superficial siderosis of the central nervous system secondary to cervical root avulsion
| Autor: | Riadh Gouider, Amina Gargouri, Imen Kacem, Youssef Sidhom, Mouna Ben Djebara, Amina Nasri |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pathology medicine.medical_specialty Hemosiderosis Context (language use) Case Reports 030218 nuclear medicine & medical imaging Diagnosis Differential 03 medical and health sciences Myelopathy 0302 clinical medicine Spinal cord compression medicine Humans Radiculopathy Plexus business.industry Anatomy Middle Aged medicine.disease Spinal cord Superficial siderosis medicine.anatomical_structure Brachial plexus injury Neurology (clinical) Paraplegia business Spinal Cord Compression 030217 neurology & neurosurgery |
| Zdroj: | The Journal of Spinal Cord Medicine. 41:490-495 |
| ISSN: | 2045-7723 1079-0268 |
| DOI: | 10.1080/10790268.2017.1329053 |
| Popis: | CONTEXT: Cervical root avulsion secondary to traumatic plexus injury is a rare etiology of superficial siderosis (SS) of the central nervous system (CNS). We describe the case of an isolated progressive compressive myelopathy revealing this complication and discuss the pathogenesis of such a presentation, its clinical and imaging peculiarities with a literature review. FINDINGS: We report on the case of a 48-year-old man with history of left brachial plexus injury at the age of 2 years. Since the age of 38 years, he had presented with a progressive paraplegia, bladder and erectile dysfunction, neuropathic pain and sensory level. The diagnosis was made by spinal cord and brain magnetic resonance follow-up imaging revealing hypointensity T2-weighted gradient echo linear dark rim around the entire neuraxis and cervical dural pseudomeningoceles. These MRI findings were suggestive of extensive hemosiderin deposition consolidating the diagnosis of SS of CNS. CONCLUSION/CLINICAL RELEVANCE: Our case report illustrates diagnosis difficulties in unusual or paucisymptomatic presentations of SS. A history of brachial plexus trauma with nerve root avulsion should prompt gradient-echo T2-weighted imaging to bring out such a complication. Superficial siderosis of the CNS should be included in the panel of differential diagnosis of the parethospastic syndromes and compressive myelopathy. |
| Databáze: | OpenAIRE |
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