Murata Y, Inada K, Negi A
Department of Ophthalmology, Kumamoto University School of Medicine, Kumamoto-shi, Japan.
Am J Ophthalmol. 2000 May;129(5):682-4. doi: 10.1016/s0002-9394(00)00377-9.
To report the first Japanese case of the Susac syndrome characterized by microangiopathy of the brain, retina, and cochlea.
Case report. A 36-year-old Japanese man underwent extensive clinical and laboratory examination for encephalopathy, bilateral recurrent branch retinal arterial occlusion, and hearing loss.
This case was initially diagnosed as acute disseminated encephalomyelitis. Despite exhaustive clinical and laboratory examination of the patient, no evidence of a known systemic disease was found. The bilateral recurrent branch retinal arterial occlusions were widely disseminated. Remission occurred 1 year after symptom onset. This patient demonstrated all of the clinical features associated with the Susac syndrome.
Susac syndrome has been considered rare, but it is probably more common than previously thought and seems to occur in any race. This disorder usually occurs in young women, but it can affect men.
报告首例以脑、视网膜及耳蜗微血管病为特征的Susac综合征日本病例。
病例报告。一名36岁日本男性因脑病、双侧复发性视网膜分支动脉阻塞及听力损失接受了全面的临床和实验室检查。
该病例最初被诊断为急性播散性脑脊髓炎。尽管对患者进行了详尽的临床和实验室检查，但未发现已知全身性疾病的证据。双侧复发性视网膜分支动脉阻塞广泛分布。症状出现1年后病情缓解。该患者表现出与Susac综合征相关的所有临床特征。
Susac综合征一直被认为较为罕见，但可能比之前认为的更为常见，且似乎在任何种族中均可发生。这种疾病通常发生于年轻女性，但也可影响男性。
