SUSAC Syndrome- An under reported and misdiagnosed condition that needs greater awareness for adequate management
Jaleel, Shazia Azeem, Zahra
Jaleel, Shazia
Azeem, Zahra
Abstract
Background: SUSAC Syndrome is an autoimmune mediated vasculopathy that affects the very small blood
vessels in the brain, retina and cochlea. Case report: We report a case of 32 year old para 2 who was a known
case of SUSAC syndrome diagnosed in her second pregnancy at 28 weeks of gestation after an episode of coma
and fainting. She was transferred to tertiary care with abnormal cognitive function and MRI scan that showed
evidence of active vasculopathy. Her symptoms were severe headaches with flashing of lights, tinnitus and joint
pains. She had multidisciplinary care with neuroinflammatory team. An emergency ceasarian section was
performed at term due to fetal compromise. She had uneventful postnatal course . Discussion: Susac Syndrome
affects women more than men usually between 20-40 years. It is difficult to diagnose the condition because of
other overlapping symptoms therefore the true prevalence is unknown Headache is an important but often
under-appreciated symptom which frequently has a migraines character and may precede other symptoms.
Conclusion: A high degree of suspicion is needed to diagnose and treat women presenting in pregnancy.
Women will need careful monitoring and neuro inflammatory input for better outcome.
MIDER Authors
Citations
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Date
2021-02-15
Type
Conference Output
Subject
Obstetrics. Midwifery
Collections
Citation
Azeem, Z. & Jaleel, S. (2021), SUSAC Syndrome- An under reported and misdiagnosed condition that needs greater awareness for adequate management E-Poster. Aust. N. Z. J. Obstet. Gynaecol., 61: 19-138. https://doi.org/10.1111/ajo.13345
Journal / Source Title
Australian and New Zealand Journal of Obstetrics and Gynaecology
DOI
10.1111/ajo.13345
PMID
Publisher
Wiley