title: Retinal infarcts in a patient with an acute confusional syndrome.
abstract: A 46-year-old man presented with acute confusional syndrome, ataxia, dysarthria, and right hemiparesthesia. Brain MRI showed small bilateral infarcts and fluorescein angiography revealed multiple peripheral retinal infarcts bilaterally. No visual loss was present, and no other organs were involved. The diagnosis of Susac syndrome (microangiopathy of the brain, retina and cochlea) was made and immunosuppressive therapy begun.
authors.affiliation: Hospital Clínic de Barcelona, Barcelona, Spain. elenabitrian@telefonica.net
authors.forename: Elena
authors.initials: E
authors.lastname: Bitrian
authors.forename: Bernardo
authors.initials: B
authors.lastname: Sanchez-Dalmau
authors.forename: Molly E
authors.initials: ME
authors.lastname: Gilbert
authors.forename: Alfredo
authors.initials: A
authors.lastname: Adan
authors.forename: John O
authors.initials: JO
authors.lastname: Susac
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D001921:Brain / Q000098:blood supply*; D020520:Brain Infarction / Q000175:diagnosis / Q000188:drug therapy; D003051:Cochlea / Q000098:blood supply*; D003693:Delirium / Q000175:diagnosis* / Q000188:drug therapy; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D012161:Retinal Artery / Q000187:drug effects / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D013577:Syndrome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D001241:Aspirin; D008775:Methylprednisolone