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Superficial cerebral and spinal haemosiderosis caused by secondary tethered cord syndrome after resection of a spinal lymphoma.

Zingler VC, Grau S, Tonn JC, Jahn K, Linn J, Brandt T, Strupp M

Department of Neurology, Ludwig-Maximilians University, Klinikum Grosshadern, D-81377 Munich, Germany. vzingler@med.uni-muenchen.de

Superficial haemosiderosis results from chronic subarachnoid haemorrhage during which haemosiderin is deposited in the leptomeninges around the brain, spinal cord and cranial nerves. We describe an exceptional case of superficial haemosiderosis characterised by two special aspects. (1) The cause was a secondary tethered cord syndrome due to dural adhesions which had developed 8 years after resection of a thoracic lymphoma and (2) an explorative neurosurgical procedure with complete untethering caused normalisation of the cerebrospinal fluid and stopped disease progression.

Published 18 June 2007 in J Neurol Neurosurg Psychiatry, 78(7): 767-8.
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