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[Susac's syndrome: a rare autoimmune angiopathy in a 71-year-old patient]
Esther M M Teunissen1,2, Eelke Bidlot3, Jasper Kliffen1
1Bernhoven ziekenhuis, afd. Neurologie, Uden.
Background:
Susac's syndrome is an autoimmune angiopathy classically leading to the triad of encephalopathy, retinopathy and hearing loss. Multidisciplinarity is essential for diagnosis, which means in more detail a MRI-cerebrum, fluorescence angiography (FAG) and audiography. Early treatment is key since it is associated with better prognosis and reversibility.
Case Description:
This article presents a 71-year-old woman with multiple episodes of separate complaints (aphasia, behavioral changes, amnesia and vertigo with tinnitus). The MRI-cerebrum suspected Susac's syndrome with typical callosal lesions. An abnormal FAG and audiography completed the diagnostic triad of Susac's syndrome. Thereafter, treatment with immunosuppressants was initiated, which resulted in cognitive improvement.
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