Anterior horn damage in brachial multisegmental amyotrophy with superficial siderosis and dural tear: an autopsy case report

Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear. We describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collec...

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Published inBMC neurology Vol. 23; no. 1; p. 129
Main Authors Takahashi, Yusuke, Kodaira, Minori, Yamada, Mitsunori, Uehara, Kai, Ito, Kiyoshi, Kaneko, Tomoki, Ohashi, Hiroki, Yazaki, Masahide, Sekijima, Yoshiki
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 29.03.2023
BioMed Central
BMC
Subjects
Age
Analysis
Anterior horn
Ataxia
Atrophy
Atrophy, Muscular
Autopsies
Autopsy
Brachial multisegmental amyotrophy
Care and treatment
Case Report
Case reports
Central nervous system
Central nervous system diseases
Compression
Denervation
Diagnosis
Dural tear
Electromyography
Gray Matter
Humans
Magnetic resonance imaging
Male
Middle Aged
Pathophysiology
Patients
Siderosis
Siderosis - complications
Siderosis - diagnostic imaging
Snake-eyes appearance
Spinal cord
Spinal Cord Compression - complications
Spinal Cord Compression - diagnostic imaging
Stenosis
Substantia grisea
Superficial siderosis
Thorax
Japan
Snake-eyes appearance
Dural tear
Superficial siderosis
Anterior horn
Brachial multisegmental amyotrophy
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Abstract Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear. We describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collection from the cervical to lumbar spinal levels accompanied with SS, dural tear, and snake-eyes appearance on magnetic resonance imaging (MRI). Radiological and pathological analyses detected diffuse and prominent superficial deposition of hemosiderin in the central nervous system. Snake-eyes appearance on MRI expanded from the C3 to C7 spinal levels without apparent cervical canal stenosis. Pathologically, severe neuronal loss at both anterior horns and intermediate zone was expanded from the upper cervical (C3) to middle thoracic (Th5) spinal gray matter, and these findings were similar to compressive myelopathy. Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
AbstractList Case presentation Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
Background Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear. Case presentation We describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collection from the cervical to lumbar spinal levels accompanied with SS, dural tear, and snake-eyes appearance on magnetic resonance imaging (MRI). Radiological and pathological analyses detected diffuse and prominent superficial deposition of hemosiderin in the central nervous system. Snake-eyes appearance on MRI expanded from the C3 to C7 spinal levels without apparent cervical canal stenosis. Pathologically, severe neuronal loss at both anterior horns and intermediate zone was expanded from the upper cervical (C3) to middle thoracic (Th5) spinal gray matter, and these findings were similar to compressive myelopathy. Conclusion Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection. Keywords: Superficial siderosis, Brachial multisegmental amyotrophy, Dural tear, Snake-eyes appearance, Anterior horn
Abstract Background Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear. Case presentation We describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collection from the cervical to lumbar spinal levels accompanied with SS, dural tear, and snake-eyes appearance on magnetic resonance imaging (MRI). Radiological and pathological analyses detected diffuse and prominent superficial deposition of hemosiderin in the central nervous system. Snake-eyes appearance on MRI expanded from the C3 to C7 spinal levels without apparent cervical canal stenosis. Pathologically, severe neuronal loss at both anterior horns and intermediate zone was expanded from the upper cervical (C3) to middle thoracic (Th5) spinal gray matter, and these findings were similar to compressive myelopathy. Conclusion Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
BackgroundPatients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear.Case presentationWe describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collection from the cervical to lumbar spinal levels accompanied with SS, dural tear, and snake-eyes appearance on magnetic resonance imaging (MRI). Radiological and pathological analyses detected diffuse and prominent superficial deposition of hemosiderin in the central nervous system. Snake-eyes appearance on MRI expanded from the C3 to C7 spinal levels without apparent cervical canal stenosis. Pathologically, severe neuronal loss at both anterior horns and intermediate zone was expanded from the upper cervical (C3) to middle thoracic (Th5) spinal gray matter, and these findings were similar to compressive myelopathy.ConclusionExtensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear. We describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collection from the cervical to lumbar spinal levels accompanied with SS, dural tear, and snake-eyes appearance on magnetic resonance imaging (MRI). Radiological and pathological analyses detected diffuse and prominent superficial deposition of hemosiderin in the central nervous system. Snake-eyes appearance on MRI expanded from the C3 to C7 spinal levels without apparent cervical canal stenosis. Pathologically, severe neuronal loss at both anterior horns and intermediate zone was expanded from the upper cervical (C3) to middle thoracic (Th5) spinal gray matter, and these findings were similar to compressive myelopathy. Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
Abstract Background Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear. Case presentation We describe spinal cord pathology of a 58-year-old man who developed brachial multisegmental amyotrophy with ventral intraspinal fluid collection from the cervical to lumbar spinal levels accompanied with SS, dural tear, and snake-eyes appearance on magnetic resonance imaging (MRI). Radiological and pathological analyses detected diffuse and prominent superficial deposition of hemosiderin in the central nervous system. Snake-eyes appearance on MRI expanded from the C3 to C7 spinal levels without apparent cervical canal stenosis. Pathologically, severe neuronal loss at both anterior horns and intermediate zone was expanded from the upper cervical (C3) to middle thoracic (Th5) spinal gray matter, and these findings were similar to compressive myelopathy. Conclusion Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
ArticleNumber 129
Audience Academic
Author Yazaki, Masahide
Kodaira, Minori
Takahashi, Yusuke
Sekijima, Yoshiki
Uehara, Kai
Ohashi, Hiroki
Yamada, Mitsunori
Ito, Kiyoshi
Kaneko, Tomoki
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Cites_doi 10.1038/sj.sc.3101727
10.1093/brain/118.4.1051
10.1002/ana.26083
10.1097/00007632-199604010-00010
10.1212/WNL.0b013e3182166e6f
10.1016/j.jns.2022.120248
10.1212/01.wnl.0000208510.76323.5b
10.1007/s00415-019-09469-9
10.2169/internalmedicine.39.283
10.1097/00007632-199802150-00008
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Issue 1
Keywords Snake-eyes appearance
Dural tear
Superficial siderosis
Anterior horn
Brachial multisegmental amyotrophy
Language English
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Snippet Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with dural tear....
Abstract Background Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection...
Background Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with...
Case presentation Extensive damage of the anterior horns in our patient may be due to dynamic compression induced by ventral intraspinal fluid collection.
BackgroundPatients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with...
BACKGROUNDPatients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection accompanied with...
Abstract Background Patients with superficial siderosis (SS) rarely show brachial multisegmental amyotrophy with ventral intraspinal fluid collection...
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StartPage 129
SubjectTerms Age
Analysis
Anterior horn
Ataxia
Atrophy
Atrophy, Muscular
Autopsies
Autopsy
Brachial multisegmental amyotrophy
Care and treatment
Case Report
Case reports
Central nervous system
Central nervous system diseases
Compression
Denervation
Diagnosis
Dural tear
Electromyography
Gray Matter
Humans
Magnetic resonance imaging
Male
Middle Aged
Pathophysiology
Patients
Siderosis
Siderosis - complications
Siderosis - diagnostic imaging
Snake-eyes appearance
Spinal cord
Spinal Cord Compression - complications
Spinal Cord Compression - diagnostic imaging
Stenosis
Substantia grisea
Superficial siderosis
Thorax
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Title Anterior horn damage in brachial multisegmental amyotrophy with superficial siderosis and dural tear: an autopsy case report
URI https://www.ncbi.nlm.nih.gov/pubmed/36991361
https://www.proquest.com/docview/2802999674
https://search.proquest.com/docview/2792901543
https://pubmed.ncbi.nlm.nih.gov/PMC10053131
https://doaj.org/article/70891d33c8654d44b6f5a370ac520991
Volume 23
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