Optical coherence tomography in Susac's syndrome

Jacqueline Bernard, Rebecca Romero, Khushboo Agrawal, Rama Jager, Kourosh Rezania

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Susac's syndrome is an autoimmune endotheliopathy with predilection for brain, retina and cochlea (Susac, 1994). Optical coherence tomography (OCT) is a non-invasive method, which is increasingly used in the diagnosis of retinal as well as primary central nervous system diseases. OCT is suggested as a useful diagnostic tool in differentiating Susac's syndrome from multiple sclerosis (MS) (Brandt et al., 2012). This report demonstrates the OCT findings in 3 patients with Susac's syndrome in different stages of the disease. The OCT demonstrated decreased retinal nerve fiber layer (RNFL) thickness, which was patchy in nature and more prominent in the nasal quadrants. We also observed loss of the normal foveal contour, which is uncharacteristic for MS. The extent and degree of the OCT abnormalities in our patients correlated with the stage and severity of the disease and correlated with the findings on the visual field studies. We confirm that OCT is a useful diagnostic tool in Susac's syndrome and helps to differentiate it from MS. Furthermore, OCT may be a non-invasive alternative to fluorescein angiography in longitudinal follow up of these patients.

Original languageEnglish (US)
Pages (from-to)110-116
Number of pages7
JournalMultiple Sclerosis and Related Disorders
Volume3
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Susac Syndrome
Optical Coherence Tomography
Multiple Sclerosis
Fluorescein Angiography
Central Nervous System Diseases
Cochlea
Visual Fields
Nerve Fibers
Nose
Retina

Keywords

  • Branch retinal artery occlusion
  • BRAO
  • Multiple sclerosis
  • OCT Optical coherence tomography
  • Susac's syndrome

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Optical coherence tomography in Susac's syndrome. / Bernard, Jacqueline; Romero, Rebecca; Agrawal, Khushboo; Jager, Rama; Rezania, Kourosh.

In: Multiple Sclerosis and Related Disorders, Vol. 3, No. 1, 01.01.2014, p. 110-116.

Research output: Contribution to journalArticle

Bernard, Jacqueline ; Romero, Rebecca ; Agrawal, Khushboo ; Jager, Rama ; Rezania, Kourosh. / Optical coherence tomography in Susac's syndrome. In: Multiple Sclerosis and Related Disorders. 2014 ; Vol. 3, No. 1. pp. 110-116.
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