Siderosis idiopática del sistema nervioso central y asociación con atrofia óptica e infarto cerebral. Caso Clínico

Autores/as

  • Enrique Aguilar hospital base de puerto montt
  • Andrea Pérez hospital base de puerto montt
  • Mario Rivera hospital base puerto montt
  • Ingeborg Perlwitz universidad san sebastian
  • Michelle Rivera universidad san sebastian

Palabras clave:

Hemosiderin, Ischemic Stroke, Siderosis, Stroke

Resumen

Superficial siderosis of the central nervous system is produced by the deposit of hemosiderin within the subpial layers of the central nervous system and central parts of the cranial nerves, leading to progressive degeneration. We report a 55-year-old male who consulted for hearing loss and long-standing progressive decrease in visual acuity, associated with sudden onset of left hemiparesis. A brain CAT scan showed subacute ischemic lesions in the territory of the right posterior cerebral artery (thalamus and right subcortical temporal regions), old ischemic lesions in the right subcortical occipital regions and cerebellar atrophy. A magnetic resonance confirmed the lesions and the presence of superficial diffuse siderosis. A cerebrospinal fluid analysis showed slight xanthochromia, 26 leukocytes/mm3, glucose 51 mg/dL and proteins 1.23 g/L. He was managed with aspirin in low doses and statins. His motor function improved and was discharged two weeks after admission.

Biografía del autor/a

Enrique Aguilar, hospital base de puerto montt

neurologo servicio de neurologia

Andrea Pérez, hospital base de puerto montt

neurorradiologa servicio radiologia

Mario Rivera, hospital base puerto montt

neurologo servicio de neurologia

Ingeborg Perlwitz, universidad san sebastian

interna de medicina escuela de pregrado USS, Sede de la Patagonia.

Michelle Rivera, universidad san sebastian

interna de medicina escuela de pregrado USS, Sede de la Patagonia.

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Publicado

2023-03-10

Cómo citar

Aguilar, E., Pérez, A., Rivera, M., Perlwitz, I., & Rivera, M. (2023). Siderosis idiopática del sistema nervioso central y asociación con atrofia óptica e infarto cerebral. Caso Clínico. Revista Médica De Chile, 150(12). Recuperado a partir de https://www.revistamedicadechile.cl/index.php/rmedica/article/view/9744

Número

Sección

Reporte de Caso Clínico

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