Wimmer Eva, Kramer Matthias F, Bergmann Christoph, Reiniger Ingrid, Harrèus Ulrich
Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilians-University Munich, Germany.
Am J Otolaryngol. 2009 May-Jun;30(3):145-9. doi: 10.1016/j.amjoto.2008.03.005. Epub 2008 Oct 1.
We characterize 2 cases with sensorineural hearing loss and ophthalmologic findings. The clinicopathologic features revealed diagnosis of Susac's syndrome, a rare microangiopathy with cochlea, retinal, and brain affection. Diagnosis may be difficult because most specialists are not familiar with this angiopathy. However, the characteristic symptoms can mimic different pathologies, which may result in attention of radiologists, ophthalmologists, neurologists and otolaryngologists. In this report, we present 2 women with Susac's syndrome unveiled by audiometry, magnetic resonance imaging of the brain, and ophthalmologic findings. The course of the illness and a review of literature are presented.
我们描述了2例伴有感音神经性听力损失和眼科检查结果的病例。临床病理特征显示为Susac综合征的诊断，这是一种罕见的累及耳蜗、视网膜和脑的微血管病。诊断可能困难，因为大多数专科医生不熟悉这种血管病。然而，其特征性症状可模仿不同的病理情况，这可能引起放射科医生、眼科医生、神经科医生和耳鼻喉科医生的注意。在本报告中，我们介绍了2例通过听力测定、脑部磁共振成像和眼科检查结果确诊为Susac综合征的女性患者。文中还介绍了疾病过程及文献综述。
