Document Detail


Superficial siderosis in the general population.
MedLine Citation:
PMID:  19620607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Superficial siderosis is a rare radiologic diagnosis of hemosiderin deposition in subpial brain layers. In case studies, an association between superficial siderosis and cerebral amyloid angiopathy (CAA) has been described. Also, a potential role of superficial siderosis in Alzheimer disease (AD) was hypothesized. All previously reported cases of superficial siderosis were detected because of overt clinical symptoms. We studied the occurrence of superficial siderosis on brain MRI in a general population of nondemented elderly. METHODS: In 1,062 persons (mean age 69.6 years) from the population-based Rotterdam Scan Study, we performed T2*-weighted MRI to assess the presence of superficial siderosis. Furthermore, the presence, number, and location of cerebral microbleeds were rated, as lobar microbleeds are thought to be indicative of CAA. RESULTS: We found that superficial siderosis was present in 7 (0.7%) individuals, all of whom had cerebral microbleeds in lobar locations. Furthermore, in all 7 persons, microbleeds were located in close vicinity to superficial siderosis. CONCLUSIONS: Our results provide further indirect support for the presumed link between superficial siderosis and cerebral amyloid angiopathy (CAA). Whether superficial siderosis may be a marker for severity or worse prognosis of CAA needs to be further evaluated in longitudinal follow-up.
Authors:
M W Vernooij; M A Ikram; A Hofman; G P Krestin; M M B Breteler; A van der Lugt
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology     Volume:  73     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-21     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  202-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Epidemiology, Erasmus MC UniversityMedical Center, 3015 CE Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Alzheimer Disease / epidemiology,  pathology,  physiopathology
Biological Markers / analysis,  metabolism
Brain / blood supply,  pathology,  physiopathology
Cerebral Amyloid Angiopathy / epidemiology*,  pathology*,  physiopathology
Cerebral Arteries / pathology,  physiopathology
Cohort Studies
Disease Progression
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Predictive Value of Tests
Prevalence
Prognosis
Siderosis / epidemiology*,  pathology*,  physiopathology
Subarachnoid Hemorrhage / epidemiology*,  pathology*,  physiopathology
Subarachnoid Space / pathology,  physiopathology
Chemical
Reg. No./Substance:
0/Biological Markers

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