This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Carl W. Braun, MD
Division of Neurology St Luke's-Roosevelt Hospital 1090 Amsterdam Ave New York, NY 10025

Arch Neurol. 1981;38(1):66-67.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the article by Caroscio et al (ARCHIVES 1980;357:101-103), a patient with recurrent subarachnoid hemorrhage from a spinal cord arteriovenous malformation associated with an aneurysm had intracranial signs of double vision, slurred speech, and unsteady gait. Initially intermittent, these signs subsequently became fixed, with persistent nystagmus and ataxia. A search for an intracranial source of these signs was unrevealing. Although the authors recognized that intracranial symptoms and signs in spinal subarachnoid hemorrhage are common, no explanation for their occurrence is given.

The presence of sustained intracranial signs after repeated subarachnoid hemorrhage may on occasion be the result of superficial siderosis of the CNS. This entity was first observed by Hamill¹ in 1908, and described in clinical detail by Bauer² in 1928. Koeppen and Barron³ and others have shown that the condition occurs as a result of blood in the subarachnoid space. In contrast to . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?