Susac syndrome: ophthalmological and auditory manifestations in a patient with headache: case report

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2024.23

Keywords:

Susac's Syndrome, Retinocochleocerebral Vasculopathy, Retinal Artery Occlusions, Vasculitis, Retinal

Abstract

Introduction
The first case reports of Susac Syndrome emerged in 1979 due to two young female patients presenting with the clinical triad of multifocal encephalopathy, occlusion of the central retinal artery branch, and sensorineural hearing loss, as well as histopathological findings of microinfarctions in the gray and white matter of the brain. The clinical features of the syndrome have been documented in approximately 500 cases published worldwide, making it extremely rare. Headache is a prominent complaint by patients with Susac syndrome. Its pathophysiology remains unknown, with immune and genetic factors being most related to the retino-cochleo-cerebral clinical manifestations. Since its first description, the scientific community has been paying greater attention to the syndrome, especially with advances in medical technology and the availability of complementary exams.
Case report
In this study, We present a case report of a woman experiencing progressive pulsatile temporal headaches for two years, associated with decreased visual acuity for three months and simultaneous hypoacusis on the left, who was incorrectly diagnosed and treated for multiple sclerosis.
Comment
The literature review discusses Susac Syndrome and its microvascular complications, highlighting the multidisciplinary approach necessary for accurate diagnosis and comprehensive long-term management.

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References

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Published

2024-06-30

How to Cite

1.
Góes LBD, Góes CBD, Almeida CB de, Hübner JLCN, Matos KTF. Susac syndrome: ophthalmological and auditory manifestations in a patient with headache: case report. Headache Med [Internet]. 2024 Jun. 30 [cited 2024 Jul. 14];15(2):111-4. Available from: https://headachemedicine.com.br/index.php/hm/article/view/1049

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Case Report