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A neurological examination revealed very mild cognitive impairment and cerebellar ataxia. Blood chemistry data showed deficient ceruloplasmin (Cp), decreased copper, and increased ferritin. A nonsense mutation (c.2630G \u003e A, p.Trp858Ter) was detected in the Cp gene. Brain magnetic resonance imaging (MRI) showed marked hypointensity at the surface of the cerebrum, cerebellum, and brainstem bilaterally, in addition to the bilateral basal ganglia, thalamus, and dentate nucleus, suggesting the coexistence of ACP and superficial siderosis (SS). The characteristics of SS in ACP have not been examined neuroradiologically or neuropathologically in great detail, while SDH and its curative surgery are known to cause SS. The distribution of the hypointensity areas on MRI was expanded bilaterally to the subtentorial areas of this patient, which was much more widespread than observed in typical SS after SDH. We speculate that the underlying ACP may expand the SS induced by SDH. Cp would accelerate iron export from the brain via the blood-cerebrospinal fluid (CSF) barrier, or CSF-brain barrier when excessive iron is loaded into the subarachnoid space. ? 2014 Elsevier B.V. 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Superficial siderosis associated with aceruloplasminemia. Case report
http://hdl.handle.net/10091/17832
7636be17-382f-4d7c-bb6d-83e0fe53d93c
名前 / ファイル | ライセンス | アクション | |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2014-09-05 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Superficial siderosis associated with aceruloplasminemia. Case report | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Aceruloplasminemia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Superficial siderosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Blood-cerebrospinal fluid (CSF) barrier | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | CSF-brain barrier | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Ceruloplasmin | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Macrophage | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Matsushima, Akira
× Matsushima, Akira× Yoshida, Toshikazu× Yoshida, Kunihiro× Ohara, Shinji× Toyoshima, Yasuko× Kakita, Akiyoshi× Ikeda, Shu-ichi |
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信州大学研究者総覧へのリンク | ||||||
氏名 | Yoshida, Kunihiro | |||||
URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.yhfNHFkh.html | |||||
出版者 | ||||||
出版者 | ELSEVIER SCIENCE BV | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | JOURNAL OF THE NEUROLOGICAL SCIENCES. 339(41641):231-234 (2014) | |||||
書誌情報 |
JOURNAL OF THE NEUROLOGICAL SCIENCES 巻 339, 号 41641, p. 231-234, 発行日 2014-04-15 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | A 63-year-old woman with a past history of right subdural hematoma (SDH) at the age of 61 years was referred to our hospital under a suspicion of aceruloplasminemia (ACP). A neurological examination revealed very mild cognitive impairment and cerebellar ataxia. Blood chemistry data showed deficient ceruloplasmin (Cp), decreased copper, and increased ferritin. A nonsense mutation (c.2630G > A, p.Trp858Ter) was detected in the Cp gene. Brain magnetic resonance imaging (MRI) showed marked hypointensity at the surface of the cerebrum, cerebellum, and brainstem bilaterally, in addition to the bilateral basal ganglia, thalamus, and dentate nucleus, suggesting the coexistence of ACP and superficial siderosis (SS). The characteristics of SS in ACP have not been examined neuroradiologically or neuropathologically in great detail, while SDH and its curative surgery are known to cause SS. The distribution of the hypointensity areas on MRI was expanded bilaterally to the subtentorial areas of this patient, which was much more widespread than observed in typical SS after SDH. We speculate that the underlying ACP may expand the SS induced by SDH. Cp would accelerate iron export from the brain via the blood-cerebrospinal fluid (CSF) barrier, or CSF-brain barrier when excessive iron is loaded into the subarachnoid space. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0022-510X | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00703265 | |||||
PubMed | ||||||
関連識別子 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/24607334 | |||||
関連名称 | ||||||
関連名称 | 24607334 | |||||
DOI | ||||||
関連識別子 | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1016/j.jns.2014.02.014 | |||||
関連名称 | ||||||
関連名称 | 10.1016/j.jns.2014.02.014 | |||||
権利 | ||||||
権利情報 | Copyright© 2014 Elsevier B.V. | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000335123500046 |