Retinal infarcts in a patient with an acute confusional syndrome.
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.
Bitrian
Elena
E
Hospital Clínic de Barcelona, Barcelona, Spain. elenabitrian@telefonica.net
Sanchez-Dalmau
Bernardo
B
Gilbert
Molly E
ME
Adan
Alfredo
A
Susac
John O
JO
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
D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D001241:Aspirin; D008775:Methylprednisolone