EURORAD ESR

Case 12253

Susac's syndrome

Author(s)
Diaz Angulo C1, Giraldo Salazar DM2, Otero Muinelo S1, Diaz García A1, Diaz Valiño JL1, Fernandez Couto MD2

(1)Radiology department
(2)Neurology department
Complejo Hospitalario Universitario A Coruña, Spain
 
Patient
female, 39 year(s)
 
 
  • Figure 1
    MRI. Axial. Fluid attenuated inversion recovery (FLAIR)-T2WI
     

    Axial FLAIR-T2WI images at the level of the corpus callosum shows multiple small high-signal-intensity lesions (arrows) located in the genum and splenium of the corpus callosum.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Axial FLAIR-T2WI shows multiple small high-signal-intensity lesions in the genum and splenium of the corpus callosum (arrows). Periventricular deep white matter (arrowheads) is also involved with multiple small...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Axial FLAIR T2WI shows classic microinfarcts in the right internal capsule (arrow) with a “string of pearls” pattern.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    MRI. Sagital. FLAIR-T2WI
     

    Sagittal FLAIR-T2WI shows multiple hyperintense lesions in the central fibres of corpus callosum (arrowhead) with a "punched-out" appereance (arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Sagittal FLAIR-T2WI shows multiple small hyperintense centrally located lesions in the genu of the corpus callosum (long arrow) and the body of the corpus callosum with a "punched-out" appereance (arrow).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Midline sagittal FLAIR-T2WI of the brain shows multiple small round hyperintense lesions (arrows) located in the central fibres of the body and genu of the corpus callosum.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    DWI/ADC map

    DWI and ADC map demostrates mild restriction in the corpus callosum knee and splenium lesions.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    Retinal fluorescein angiogram

    Fluorescein angiography showing an obstructed branch retinal artery (arrows) and hyperfluorescent vasculitis lesions (arrowhead).

     
    Area of Interest: Eyes; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
Axial FLAIR-T2WI images at the level of the corpus callosum shows multiple small high-signal-intensity lesions (arrows) located in the genum and splenium of the corpus callosum.
 
Axial FLAIR-T2WI shows multiple small high-signal-intensity lesions in the genum and splenium of the corpus callosum (arrows). Periventricular deep white matter (arrowheads) is also involved with multiple small hyperintense lesions.
 
Axial FLAIR T2WI shows classic microinfarcts in the right internal capsule (arrow) with a “string of pearls” pattern.
 
Sagittal FLAIR-T2WI shows multiple hyperintense lesions in the central fibres of corpus callosum (arrowhead) with a "punched-out" appereance (arrow).
 
Sagittal FLAIR-T2WI shows multiple small hyperintense centrally located lesions in the genu of the corpus callosum (long arrow) and the body of the corpus callosum with a "punched-out" appereance (arrow).
 
Midline sagittal FLAIR-T2WI of the brain shows multiple small round hyperintense lesions (arrows) located in the central fibres of the body and genu of the corpus callosum.
 
DWI and ADC map demostrates mild restriction in the corpus callosum knee and splenium lesions.
 
Fluorescein angiography showing an obstructed branch retinal artery (arrows) and hyperfluorescent vasculitis lesions (arrowhead).
 
 
 
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