Table 1.
Diagnostic criteria of Susac syndrome as proposed by EuSaC in 2016.
| i. Symptoms and clinical findings | ii. Imaging or examination | |
|---|---|---|
| 1. Brain involvement | New cognitive impairment and/or behavioral changes and/or new focal neurological symptoms and/or new headache | Typical findings in cranial MRI–hyperintense, multifocal, round small lesions, at least one of them in the corpus callosum (“snowball”) in T2W (or FLAIR) sequences. |
| (at least one symptom and one MRI finding required) | ||
| 2. Retinal involvement | Not required | BRAOs or AWH in fluorescein angiography or characteristic signs of retinal branch ischemia in fundoscopy or SD-OCT |
| (only ophthalmological finding required) | ||
| 3. Vestibulocochlear involvement | New tinnitus and/or hearing loss and/or peripheral vertigo | Hearing loss supported by an audiogram; vestibular vertigo supported by specific diagnostics |
| (clinical finding supported by corresponding examination required in case of hearing loss and vertigo) |
Definite diagnosis: all three criteria met. Probable diagnosis: two out of three criteria met. Possible diagnosis: only one criterion met. AWH, Arterial wall hyperfluorescence; BRAOs, Branch retinal artery occlusions; FLAIR, Fluid-attenuated inversion recovery; T2W, T2-weighted; and SD-OCT, Spectral domain optical coherence tomography.