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BRIEF COMMUNICATION
Year : 2016  |  Volume : 64  |  Issue : 9  |  Page : 678-680

Progressive Susac syndrome with bilateral visual loss and disability


1 Department of Ophthalmology, Ophthalmic Research Center, Torfeh Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Radiology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Correspondence Address:
Dr. Saeed Karimi
Ophthalmic Research Center, Torfeh Medical Center, Baharestan St., Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.194334

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Susac syndrome (SS) is a rare retinal-cochlear-cerebral disease with an unclear etiology. A 35-year-old man presented with sudden painless vision loss in the right eye and 2 months later in the left eye with hemiparesis, behavioral changes, and hearing loss. Ophthalmic examinations revealed multiple branch retinal artery occlusions (BRAOs) in both eyes. Brain magnetic resonance imaging showed inflammatory changes with multiple “punched-out” lesions in the corpus callosum which confirmed the diagnosis of SS. Despite intravenous and oral corticosteroid therapy, the disease progressed with the development of new BRAOs, low vision in both eyes, and disability. Prompt diagnosis and early treatment may save the vision and even patient's life.


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