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Underlying pathology of superficial siderosis demonstrated on GRE T2 MRI

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A 69-year-old woman with slowly progressive gait disturbances and hearing impairment. Sagittal gradient echo (GRE) T2 MRI of the thoracic spine shows extensive superficial siderosis around the spinal cord, from below a dural defect up to the medullary cone. (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.)