Optic neuropathy in superficial intracranial siderosis.

Superficial intracranial siderosis is a degenerative condition secondary to recurrent occult subarachnoid hemorrhage. Progressive sensorineural deafness, cerebellar ataxia, and pyramidal signs are well-documented clinical manifestations, but optic neuropathy is not a recognized feature. We describe...

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Main Authors: Painter, S, Mathew, L, Quaghebeur, G, Esiri, M, Elston, J
Format: Journal article
Language:English
Published: 2010
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author Painter, S
Mathew, L
Quaghebeur, G
Esiri, M
Elston, J
author_facet Painter, S
Mathew, L
Quaghebeur, G
Esiri, M
Elston, J
author_sort Painter, S
collection OXFORD
description Superficial intracranial siderosis is a degenerative condition secondary to recurrent occult subarachnoid hemorrhage. Progressive sensorineural deafness, cerebellar ataxia, and pyramidal signs are well-documented clinical manifestations, but optic neuropathy is not a recognized feature. We describe 2 patients with clinical and electrophysiological evidence of optic nerve/chiasm dysfunction and MRI signal abnormalities consistent with hemosiderin staining of the anterior visual pathway. In a third case, neuropathological examination of the optic chiasm showed demyelination attributed to hemosiderin deposition. We suggest that anterior visual pathway damage may be underrecognized in this condition.
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spelling oxford-uuid:b7028b93-0d03-49f7-9634-9fc88f9046492022-03-27T04:45:17ZOptic neuropathy in superficial intracranial siderosis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b7028b93-0d03-49f7-9634-9fc88f904649EnglishSymplectic Elements at Oxford2010Painter, SMathew, LQuaghebeur, GEsiri, MElston, JSuperficial intracranial siderosis is a degenerative condition secondary to recurrent occult subarachnoid hemorrhage. Progressive sensorineural deafness, cerebellar ataxia, and pyramidal signs are well-documented clinical manifestations, but optic neuropathy is not a recognized feature. We describe 2 patients with clinical and electrophysiological evidence of optic nerve/chiasm dysfunction and MRI signal abnormalities consistent with hemosiderin staining of the anterior visual pathway. In a third case, neuropathological examination of the optic chiasm showed demyelination attributed to hemosiderin deposition. We suggest that anterior visual pathway damage may be underrecognized in this condition.
spellingShingle Painter, S
Mathew, L
Quaghebeur, G
Esiri, M
Elston, J
Optic neuropathy in superficial intracranial siderosis.
title Optic neuropathy in superficial intracranial siderosis.
title_full Optic neuropathy in superficial intracranial siderosis.
title_fullStr Optic neuropathy in superficial intracranial siderosis.
title_full_unstemmed Optic neuropathy in superficial intracranial siderosis.
title_short Optic neuropathy in superficial intracranial siderosis.
title_sort optic neuropathy in superficial intracranial siderosis
work_keys_str_mv AT painters opticneuropathyinsuperficialintracranialsiderosis
AT mathewl opticneuropathyinsuperficialintracranialsiderosis
AT quaghebeurg opticneuropathyinsuperficialintracranialsiderosis
AT esirim opticneuropathyinsuperficialintracranialsiderosis
AT elstonj opticneuropathyinsuperficialintracranialsiderosis