Brain Superficial Siderosis

1. CEREBRAL SUPERFICIAL
SIDEROSIS
Ade Wijaya, MD – June 2023

2. Introduction
 Linear hemosiderin in the leptomeninges and
the superficial layers of the cerebral and
cerebellar cortices, the brainstem and the
spinal cord
Fearnley JM, Stevens JM, Rudge P. Superficial siderosis of the central nervous system. Brain. 1995;118:1051–66.
Charidimou A, Linn J, Vernooij MW, Opherk C, Akoudad S, Baron JC, Greenberg SM, Jäger HR, Werring DJ. Cortical superficial siderosis: detection and clinical significance in cerebral amyloid
angiopathy and related conditions. Brain. 2015;138:2126–39.
Koeppen AH, Dentinger MP. Brain hemosiderin and superficial siderosis of the central nervous system. J Neuropathol Exp Neurol. 1988;47:249–70.

3. Weidauer S, Neuhaus E, Hattingen E. Cerebral Superficial Siderosis: Etiology, Neuroradiological
Features and Clinical Findings. Clinical Neuroradiology. 2022 Nov 28:1-4.

4. Classical Infratentorial Superficial
Siderosis
Weidauer S, Neuhaus E, Hattingen E. Cerebral Superficial Siderosis: Etiology, Neuroradiological Features and Clinical Findings. Clinical Neuroradiology. 2022 Nov 28:1-4.

5. Cortical Superficial Siderosis
Weidauer S, Neuhaus E, Hattingen E. Cerebral Superficial Siderosis: Etiology, Neuroradiological Features and Clinical Findings. Clinical Neuroradiology. 2022 Nov 28:1-4.

6. Mimics of cortical superficial
siderosis
 Cortical vein thrombosis
 Cortical hemorrhagic transformation in
cerebral infarcts
 Laminar cortical necrosis (e.g. hypoxic injury,
status epilepticus)
 Sturge Weber syndrome
 Calcifying angiopathy/mineralizing
microangiopathy
 Cockayne syndrome
Weidauer S, Neuhaus E, Hattingen E. Cerebral Superficial Siderosis: Etiology, Neuroradiological Features and Clinical Findings. Clinical Neuroradiology. 2022 Nov 28:1-4.

7. Summary
 Linear hemosiderin in the leptomeninges and
the superficial layers of the cerebral and
cerebellar cortices, the brainstem and the
spinal cord
 Supratentorial vs infratentorial
 Various etiology
 MRI brain
 Treatment based on etiology

8. THANK YOU