Article Text

Download PDFPDF
CASE REPORT
Confusion, dissociation and bizarre behaviour as the onset of an early Susac syndrome
  1. Marta Pérez-Lombardo1,
  2. Íñigo Alberdi-Páramo1,
  3. Belén Ramos-Barragán2 and
  4. Diana Gimeno-Álvarez1
  1. 1 Instituto de Psiquiatría y Salud Mental, Hospital Universitario Clínico San Carlos, Madrid, Spain
  2. 2 Hospital Universitario Virgen del Rocío, Sevilla, Spain
  1. Correspondence to Marta Pérez-Lombardo, martaperezlombardo{at}gmail.com

Abstract

A 47-year-old woman presented an episode of confusion and disorientation. According to remarkable psychiatric records, she had been treated for major depression and obsessive-compulsive disorder; however, no other relevant background was known. After preliminary examinations, blood analysis and neurological tests were unspecific and inconclusive. Therefore, the case was treated as a possible psychiatric episode related to her previous psychiatric disorders. However, due to the atypical presentation of the case, a cerebral MRI was performed, which demonstrated multiple central lesions of the corpus callosum (‘snowball lesions’), as well as several supratentorial white matter lesions. As a result of the follow-up of the case, sensorineural hearing loss and branch retinal artery were detected, which concluded in the classic triad and the confirmation of the diagnosis of a Susac syndrome.

  • neuroimaging
  • brain stem / cerebellum
  • psychiatry
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors MP-L: study concept and design, drafting of the manuscript, data collection and interpretation. IA-P: critical revision of the manuscript, analysis and interpretation of data. BR-B: critical revision and design of the manuscript, interpretation of data. DG-A: supervisor of the study, collection and interpretation of data, critical revision of the manuscript. All authors provided final approval of the version to be published and are guarantors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.