浅表性铁沉积症：一例病例报告及文献综述
Superficial siderosis: a case report and review of the literature.
作者信息
Levy Michael, Turtzo Christine, Llinas Rafael H
机构信息
Johns Hopkins Hospital, Baltimore, MD, USA.
出版信息
Nat Clin Pract Neurol. 2007 Jan;3(1):54-8; quiz 59. doi: 10.1038/ncpneuro0356.
BACKGROUND
A 48-year-old man with a past history of a car-accident-induced coma at the age of 3 years and spontaneous bilateral subdural hematomas at the age of 34 years presented with a 2-year history of worsening gait difficulties, clumsiness and dysarthria. CT scans of the brain taken during the 6 months leading up to his presentation had revealed chronic subarachnoid hemorrhage, but angiograms had not been able to identify the source of bleeding.
INVESTIGATIONS
Neurological examination, brain MRI scan, lumbar puncture, four-vessel cerebral angiogram and spinal angiogram.
DIAGNOSIS
Superficial siderosis; a complete review of the current literature on the condition is provided.
MANAGEMENT
Iron chelating agents.
背景
一名48岁男性，3岁时因车祸致昏迷，34岁时出现自发性双侧硬膜下血肿，现出现步态困难、肢体笨拙和构音障碍加重2年。在其就诊前6个月内进行的脑部CT扫描显示有慢性蛛网膜下腔出血，但血管造影未能确定出血来源。
检查
神经系统检查、脑部磁共振成像扫描、腰椎穿刺、四血管脑血管造影和脊髓血管造影。
诊断
浅表性铁沉积症；对该病的现有文献进行了全面综述。
治疗
铁螯合剂。
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