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Superior cerebellar atrophy in superficial siderosis indicated on SWI

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A 69-year-old woman with slowly progressive gait disturbances and hearing impairment. Noncontrast susceptibility-weighted image (SWI) shows superior cerebellar atrophy (yellow crooked arrow) associated with infratentorial diffuse superficial siderosis (yellow arrowhead), mostly of the pons, cerebellar folia, dentate hila, and superior vermis. (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.)