Retinal infarcts in a patient with an acute confusional syndrome

Surv Ophthalmol. 2009 Jul-Aug;54(4):503-6. doi: 10.1016/j.survophthal.2009.04.001.

Abstract

A 46-year-old man presented with acute confusional syndrome, ataxia, dysarthria, and right hemiparesthesia. Brain MRI showed small bilateral infarcts and fluorescein angiography revealed multiple peripheral retinal infarcts bilaterally. No visual loss was present, and no other organs were involved. The diagnosis of Susac syndrome (microangiopathy of the brain, retina and cochlea) was made and immunosuppressive therapy begun.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Aspirin / therapeutic use
  • Brain / blood supply*
  • Brain Infarction / diagnosis
  • Brain Infarction / drug therapy
  • Cochlea / blood supply*
  • Delirium / diagnosis*
  • Delirium / drug therapy
  • Fluorescein Angiography
  • Glucocorticoids / therapeutic use
  • Hearing Loss, Sensorineural / diagnosis
  • Hearing Loss, Sensorineural / drug therapy
  • Humans
  • Infarction / diagnosis*
  • Infarction / drug therapy
  • Magnetic Resonance Imaging
  • Male
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Retinal Artery / drug effects
  • Retinal Artery / pathology*
  • Retinal Diseases / diagnosis*
  • Retinal Diseases / drug therapy
  • Syndrome

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Glucocorticoids
  • Aspirin
  • Methylprednisolone