Confusion, dissociation and bizarre behaviour as the onset of an early Susac syndrome

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 neur...

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Published in:BMJ case reports 2019-08, Vol.12 (8), p.e229422
Main Authors: Pérez-Lombardo, Marta, Alberdi-Páramo, Íñigo, Ramos-Barragán, Belén, Gimeno-Álvarez, Diana
Format: Article
Language:English
Subjects:
Anxiety
Case reports
Cognitive ability
Confusion - diagnosis
Confusion - psychology
Diagnosis, Differential
Dissociative Disorders - diagnosis
Dissociative Disorders - psychology
Female
Hearing loss
Humans
Insomnia
Middle Aged
Neuroimaging
Rare Disease
Semantics
Susac Syndrome - diagnosis
Susac Syndrome - psychology
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creator Pérez-Lombardo, Marta
Alberdi-Páramo, Íñigo
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Gimeno-Álvarez, Diana
description 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.
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subjects Anxiety
Case reports
Cognitive ability
Confusion - diagnosis
Confusion - psychology
Diagnosis, Differential
Dissociative Disorders - diagnosis
Dissociative Disorders - psychology
Female
Hearing loss
Humans
Insomnia
Middle Aged
Neuroimaging
Rare Disease
Semantics
Susac Syndrome - diagnosis
Susac Syndrome - psychology
title Confusion, dissociation and bizarre behaviour as the onset of an early Susac syndrome
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