Case 90
Clinical Presentation
A 57-year-old man with three prior episodes of intraventricular hemorrhage and secondary hydrocephalus, now presenting with bilateral hearing loss and ataxia.
(A) Axial computed tomography without contrast shows a thin rim of high intensity on the anterior aspect of the pons (arrows). There is cerebellar atrophy with prominence of the sulci and hydrocephalus. (B) Axial fast spin-echo (FSE) T2-weighted image (WI) shows a rim of low intensity on the surface of the central nervous system. (C) Axial gradient-echo (GRE) T2*WI of the brain shows a thick rim of dark signal on the surface of the central nervous system (arrowheads). (D) Axial T1WI with contrast shows no abnormal enhancement.
Differential Diagnosis
• Superficial siderosis:
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