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Headache in a young woman: do not forget Susac’s syndrome

A. Kefi, F. Said, T. Ben Salem, M. Khedher, M. Khanfir, I. Ben Ghorbel, M. Lamloum, M.H. Houman
  • A. Kefi
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia | kefi.asma12@gmail.com
  • F. Said
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • T. Ben Salem
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • M. Khedher
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • M. Khanfir
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • I. Ben Ghorbel
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • M. Lamloum
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
  • M.H. Houman
    Department of Internal Medicine Hospital of La Rabta, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia

Abstract

Susac syndrome is a rare disease characterized by the clinical triad of encephalopathy, branch retinal artery occlusion, and sensorineural hearing loss. This underdiagnosed condition needs to be considered in the differential diagnosis of a broad variety of disorders. An early diagnosis is important as treatment can halt disease progression and prevent permanent disability. Herein, we report a case of Susac syndrome in a 31-year-old woman and we highlight how challenging an early diagnosis was and the importance of an aggressive therapeutic approach, including the combination of steroids and other cytotoxic drugs.

Keywords

Susac’s syndrome; Headache; Young woman.

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Submitted: 2017-04-22 23:55:43
Published: 2017-09-21 12:06:26
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Copyright (c) 2017 A. Kefi, F. Said, T. Ben Salem, M. Khedher, M. Khanfir, I. Ben Ghorbel, M. Lamloum, M.H. Houman

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