Hostname: page-component-6766d58669-bp2c4 Total loading time: 0 Render date: 2026-05-16T23:30:27.146Z Has data issue: false hasContentIssue false
  • English
  • Français

Benefits of magnetic resonance image scanning in progressive, bilateral, sensorineural hearing loss: a case of leptomeningeal haemosiderosis

Published online by Cambridge University Press:  04 February 2009

A Muthu ,
S Stevenson  and
P Bird
A Muthu
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Christchurch Hospital, New Zealand
S Stevenson*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Christchurch Hospital, New Zealand
P Bird
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Christchurch Hospital, New Zealand
*
Address for correspondence: Mr S Stevenson, Department of Otolaryngology - Head and Neck Surgery, Christchurch Hospital, Private Bag 4710, Christchurch 8001, New Zealand. Fax: (+64) 3 364 0273 E-mail: scott.stevenson@cdhb.govt.nz
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Magnetic resonance imaging is a routine investigation in cases of asymmetric sensorineural hearing loss, but it is not routinely used to investigate bilateral sensorineural hearing loss.

Method:

This case report illustrates the benefits of magnetic resonance image scanning in the latter patient group.

Results:

A 53-year-old man with rapidly progressive, symmetrical, bilateral, sensorineural hearing loss was found also to have anosmia, imbalance and incoordination. Magnetic resonance image scanning demonstrated leptomeningeal haemosiderosis. Progressive, bilateral, sensorineural hearing loss is the most common presentation of this condition and magnetic resonance imaging is the diagnostic investigation of choice.

Conclusion:

There are potential treatments for leptomeningeal haemosiderosis which prevent further irreversible damage, if a bleeding source can be found. Hearing loss may be due to cochlear or retrocochlear pathology. Cochlear implantation may be indicated.

Keywords

Leptomeningeal HemosiderosisSuperficial SiderosisSensorineural Hearing LossMagnetic Resonance Imaging

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , pp. 1266 - 1270
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Fearnley, JM, Stevens, JM, Rudge, P.Superficial siderosis of the central nervous system. Brain 1995;118:1051–66CrossRefGoogle ScholarPubMed
2Offenbacher, H, Fazekas, F, Schmidt, R, Alexandra, Muthu, D Scott, Stevenson, Philip A, Bird. Superficial siderosis of the central nervous system: MRI findings and clinical significance. Neuroradiology 1996;38:551–6CrossRefGoogle ScholarPubMed
3Grunshaw, ND, Blanshard, KS, Hussain, SSM, Grace, ARH.Superficial siderosis of the central nervous system – diagnosis by magnetic resonance imaging. Clin Radiol 1993:48:186–8CrossRefGoogle ScholarPubMed
4Hughes, JT, Oppenheimer, DR.Superficial siderosis of the central nervous system: a report on nine cases with autopsies. Acta Neuropathol (Berl) 1969;13:56–74Google Scholar
5Koeppen, AHW, Barron, KD.Superficial siderosis of the central nervous system: a histological, histochemical and chemical study. J Neuropathol Exp Neurol 1971;30:448–9CrossRefGoogle ScholarPubMed
6Koeppem, AH, Dentinger, MP.Brain haemosiderosis and superficial siderosis of the central nervous system. J Neuropathol Exp Neurol 1988;47:249–70Google Scholar
7Koeppen, AH, Dickson, AC, Chu, RD, Thach, RE.The pathogenesis of superficial siderosis of the central nervous system. Ann Neurol 1993;34:646–53CrossRefGoogle ScholarPubMed
8Longridge, NS.Invited comment. Otol Neurotol 2003;24:742Google Scholar
9Weekamp, HH, Huygen, PL, Merx, JL, Kremer, HP, Cremers, CW.Longitudinal analysis of hearing loss in a case of hemosiderosis of the central nervous system. Otol Neurotol 2003;24:738–42CrossRefGoogle Scholar
10Stevens, I, Peterson, D, Grodd, W, Poremba, M, Dichgans, J.Superficial siderosis of the central nervous system: a 37 year followup of a case and review of the literature. Eur Arch Psychiatry Clin Neurosci 1991;241:57–60Google Scholar
11Mascalchi, M, Salvi, F, Pirini, MG, D'Errico, A, Ferlini, A, Colli, F et al. Transthyretin amyloidosis and superficial siderosis of the CNS. Neurology 1999;53:1498–503Google Scholar
12Ellie, E, Camou, F, Vital, A, Rummens, C, Grateau, G, Delpech, M et al. Recurrent subarachnoid haemorrhage associated with a new transthyretin variant (Gly53Glu). Neurology 2001;57:135–7Google Scholar
13Li, KW, Haroun, RI, Clatterbuck, RE, Murphy, K, Rigamonti, D.Superficial siderosis associated with multiple cavernous malformations: report of three cases. Neurosurgery 2001;48:1147–51Google ScholarPubMed
14Revesz, T, Earl, CJ, Barnard, RO.Superficial siderosis of the central nervous system present with longstanding deafness. J R Soc Med 1988;81:479–81Google Scholar
15Anderson, NE, Sheffield, S, Hope, JKA.Superficial siderosis of the central nervous system: a late complication of cerebellar tumours. Neurology 1999;52:163–9Google Scholar
16Courville, CB.Applied anatomy of the VIIIth nerve and its environs, the cerebellopontine angle. Laryngoscope 1932;42:415–31CrossRefGoogle Scholar
17Kwartlet, JA, De La Cruz, A, Lo, WWM.Imaging case study of the month: superficial siderosis of the central nervous system. Ann Otol Rhinol Laryngol 1991;100:249–50Google Scholar
18Patel, MR, Edelman, R, Warach, S.Detection of hyperacute primary intraparenchymal hemorrhage by magnetic resonance imaging. Stroke 1996;27:2321–4CrossRefGoogle ScholarPubMed
19Wehrli, FW. Fast imaging: principles, techniques and clinical applications. In: Atlas, SW, ed. Magnetic Resonance Imaging of the Brain and Spine, 2nd edn.Philadelphia: Lippincott-Raven, 1996:1413–99Google Scholar
20River, Y, Honigman, SW, Gomori, JM, Reches, A.Superficial hemosiderosis of the central nervous system. Mov Disord 1994;9:559–62CrossRefGoogle ScholarPubMed
21Haferkamp, C, Schabet, M, Plinkert, PK.Cochlear prosthesis implantation in superficial leptomeningeal hemosiderosis [in German]. HNO 1999;47:642–6CrossRefGoogle ScholarPubMed
22Irving, RM, Graham, JM.Cochlear implantation in superficial siderosis. J Laryngol Otol 1996;110:1051–3Google Scholar