A case of Susac syndrome with cervical spinal cord involvement on MRI

Journal of the Neurological Sciences
Le H HuaDarin T Okuda

Abstract

We describe a typical case presentation of Susac syndrome with a novel MRI finding of cervical spinal cord involvement. A 25-year-old, 14-week gestation white woman presented with two episodes of encephalopathy, responsive to steroids, with abnormal brain magnetic resonance imaging (MRI) concerning for Susac syndrome. Further studies confirmed the clinical triad of encephalopathy, branch retinal artery occlusions and hearing loss pathognomonic for Susac syndrome. Cervical spine MRI demonstrated two focal areas of high-signal abnormality at C2 and C3. We provide a brief review of Susac syndrome, data regarding pregnancy in this rare syndrome, and discuss how this unique observation may assist in the medical management of such cases and contribute to the understanding of the underlying pathophysiology.

References

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Citations

Jun 23, 2018·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Robert A Egan
Jan 16, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Luis Ramos-RupertoÁngel Robles-Marhuenda
Dec 31, 2014·Journal of Neurology·Katherine A BuzzardTodd A Hardy
Jan 12, 2020·Neuroradiology·Joseph C J BotFrederik Barkhof
Jun 4, 2019·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·I Yu VergunovaD S Korobko
Oct 14, 2020·Neurology·Sanskriti SasikumarJiwon Oh
Jan 12, 2021·Case Reports in Neurological Medicine·Yazan Al-HasanSaha Kamala
Apr 3, 2021·Therapeutic Advances in Neurological Disorders·Barbara Willekens, Ilka Kleffner
Jun 14, 2021·La Revue de médecine interne·C DavidT Papo

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