Document Detail


Superficial siderosis of the central nervous system after ventriculoperitoneal shunt.
MedLine Citation:
PMID:  20001593     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report a case of superficial siderosis of the CNS that developed after ventriculoperitoneal (VP) shunt placement for normal-pressure hydrocephalus. A 65-year-old woman had undergone VP shunt insertion for normal-pressure hydrocephalus. Her gait disturbance, memory disturbance, and urinary incontinence all improved after the procedure. Two years later, however, her gait became ataxic and her appetite became poor. Brain MR imaging revealed a rim of hypointensity on T2-weighted sequences, enveloping the surface of the cortical fissure, cerebellum, and brainstem. Superficial siderosis of the CNS was diagnosed. Steroid administration improved her symptoms. The authors know of only one case of superficial siderosis developing after VP shunt surgery in the English-language literature. Superficial siderosis should be acknowledged as a possible complication of VP shunt.
Authors:
Takeshi Satow; Shigeki Yamada; Miyuki Yagi; Masaaki Saiki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  113     ISSN:  1933-0693     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  93-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Shiga Medical Center for Adults, Moriyama City, Shiga, Japan. takesatow@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain / pathology
Cerebellar Ataxia / etiology
Cerebral Ventricles / pathology
Dementia / etiology
Diagnosis, Differential
Equipment Design
Female
Follow-Up Studies
Hearing Loss / etiology
Hemosiderosis / diagnosis*
Humans
Hydrocephalus, Normal Pressure / diagnosis,  surgery*
Magnetic Resonance Imaging*
Microcomputers
Neurologic Examination
Postoperative Complications / diagnosis*,  surgery
Reoperation
Software
Tomography, X-Ray Computed*
Ventriculoperitoneal Shunt / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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