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. 2024 Feb 16;18:1373358. doi: 10.3389/fnins.2024.1373358

Table 2.

Differentiation between cSS and iSS.

Items cSS iSS
Classification of type Focal type (≤3 sulci involvement); Disseminated type (>3 sulci involvement) Type 1 (classical); Type 2 (secondary)
Most common cause CAA Dural tear
Clinical presentation TFNEs, cognitive impairment Progressive hearing loss, ataxia and myelopathy
Imaging on MRI Linear hypointensity on T2-WI was restricted to the supratentorial Linear hypointensity on T2-WI involved at least two sites (brain stem, cerebellum, spinal cord), with or without supratentorial
CSF studies Red cells Red cells
Treatment Surgical removal of the source of bleeding; deferiprone Surgical removal of the source of bleeding; deferiprone
Differential diagnosis TIA, migraine with aura, epilepsy, et al. Spinocerebellar ataxia, et al.

cSS, cortical superficial siderosis; iSS, infratentorial superficial siderosis; CAA, cerebral amyloid angiopathy; TFNEs, transient focal neurologic symptoms; TIA, transient ischemic attack.