临床荟萃 ›› 2020, Vol. 35 ›› Issue (12): 1116-1119.doi: 10.3969/j.issn.1004583X.2020.12.011

• 病例报告 • 上一篇    下一篇

中枢神经系统表面铁沉积症1例并文献复习

  

  1. 1.暨南大学医学院附属广州市红十字会医院 a.康复医学科(神经内科二区); b.放射科,广东 广州 510220;
    2.贵州医科大学 临床医学院,贵州 贵阳 550004
  • 出版日期:2020-12-20 发布日期:2020-11-27
  • 通讯作者: 徐武华,Email: xiongwuadf@sina.com

One case report and literature review of SSCNS

  1. 1a. Rehabilitation Medicine (Neurology II); b.Department of Radiology,  Guangzhou RedCross
    Hospital Affiliated to Medical College of Jinan University,  Guangzhou 510220,  China;
     2.School of Clinical Medicine,  Guizhou Medical University,Guiyang 550004,China
  • Online:2020-12-20 Published:2020-11-27
  • Contact: Corresponding author:Xu Wuhua, Email:xiongwuadf@sina.com

摘要: 中枢神经系统表面铁沉积症(SSCNS)是一种以小脑和脑干等功能受损为主要临床表现,以中枢神经系统组织表面铁沉积为影像学特征的罕见病。本文报道1例以反复发作性头痛、渐进性感音性耳聋、小脑性共济失调和轻微锥体束征为临床特征,但无脑出血病史女性患者的临床诊治过程及MR影像学特点,并结合文献复习,探讨其可能的病理机制和早期诊治手段。

关键词: 中枢神经系统表面铁沉积症, 小脑性共济失调, 感音性耳聋, 磁敏感加权成像

Abstract: Superficial siderosis of the central nervous system (SSCNS) is a rare disease with impaired cerebellum and brain stem as main clinical manifestations,  and with iron depositions on the surfaces of central nervous system tissues as MR neuroimaging characteristics. This paper reported the clinical diagnosis and MR features of one SSCNS female who had recurrent headaches,  progressive sensorineural hearing loss,  cerebellar ataxia,  slight pyramidal signs and no history of cerebral hemorrhage. Combined with literatures review,  its possible pathological mechanisms and comprehensive methods for early diagnosis and treatment will be explored.

Key words: superficial siderosis of the central nervous system, cerebellar ataxia, sensorineural hearing loss, susceptibility weighted imaging

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