Pregnancy-induced Susac Syndrome: A Case Report/Gebeligin Tetikledigi Susac Sendromlu Bir Olgu Sunumu

Keywords: Susac syndrome, pregnancy, encephalopathy

Anahtar Kelimeler: Susac sendromu, gebelik, ensefalopati

Dear Editor,

In the 14th week of gestation, a 19-year-old female patient presented to a peripheral hospital with worsening of her symptoms of headache and meaningless somniloquy at nights. She was referred to our center after detecting extensive hyperintense lesions (most of them showing diffusion restriction) in T2 and fluid attenuated inversion recovery sections on brain magnetic resonance imaging (also including the corpus callosum) performed nearly one month after the onset of symptoms (Figure 1). The patient's presenting neurologic examination revealed impairment in orientation to place, bilateral extensor plantar response, and hyperactive deep tendon reflexes.

During follow-up her electroencephalograph findings were consistent with encephalopathy showing generalized slow (delta-theta) activity (Figure 2). Her audiogram demonstrated sensorineural hearing loss in the low frequencies. The fundus fluorescein angiography examination revealed occlusion in many branches of the central retinal artery (Figure 3). In cerebrospinal fluid, the protein level was 210...