Presentation
Headaches and confusion.
Patient Data
Age: 55 years
Gender: Male
From the case:
Superficial siderosis
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there are hypointense rims coating the surface of the cerebellar hemispheres particularly seen in the gradient echo sequence
small subtle lesion within the pons, demonstrating a hyperintense signal on T2 with enhancement on the T1C+ sequence, in keeping with a probable CNS capillary telangiectasia
Case Discussion
Features of a superficial siderosis in a patient presenting with confusion. He had a lumbar puncture two days ago, which can explain the bleeding and hemosiderin deposit along the leptomeninges.