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.