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Superior cerebellar atrophy in superficial siderosis indicated on 3D T1 MRI

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A 69-year-old woman with slowly progressive gait disturbances and hearing impairment. Noncontrast sagittal 3D T1 MRI shows superior cerebellar atrophy (yellow crooked arrow). (Source: Bonomo G, Cusin A, Rubiu E, et al. Diagnostic approach, therapeutic strategies, and surgical indications in intradural thoracic disc herniation associated with CSF leak, intracranial hypotension, and CNS superficial siderosis. Neurol Sci 2022;43[7]:4167-73. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)