Objective: Susac Syndrome is a rare disease of unclear pathology and is often misdiagnosed as multiple sclerosis due to its variable appearance. The scope of this case report comprises presenting symptoms, diagnostic measures in terms of different treatment approaches, and possible therapeutic recommendations.
Case Presentation: A 30-year-old male patient presenting with holocephalic headaches and visual disturbances is treated with high dose prednisolone, Intravenous Immunoglobulin (IVIG), and mycophenolate mofetil after comprehensive diagnostics. An early reduction of prednisolone led to a reoccurrence of neurological impairment. Nonetheless, an added aggressive and multivalent immunotherapy with mycophenolate mofetil combined with IVIGs and prednisolone prevented further disease progression and even improved neurological symptoms to a stable condition. Patients with encephalopathy of unknown cause may therefore benefit from early ophthalmological assessment and sound threshold audiometry.
Objective: Susac Syndrome is a rare disease of unclear pathology and is often misdiagnosed as multiple sclerosis due to its variable appearance. The scope of this case report comprises presenting symptoms, diagnostic measures in terms of different treatment approaches, and possible therapeutic recommendations.