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. 2017 Dec 22;10:1–4. doi: 10.1016/j.ensci.2017.12.004

Table 1.

Comparison of data of the different reported cases of Susac syndrome with onset in pregnancy.

Cases 1 2 3 4 5 6 7 8
Published by Gordon19918 McFayden19879 Hua201410 Ionnides201311 Engelholm201312 Antulov201413 Feresiadou201414 Our case
Origin US Canada US Australia Germany Croatia Sweden Mexico
Age 28 31 25 28 32 21 35 34
Gestational age at onset (weeks) 28 No specified 14 13 32 35 37 15
Previous medical history None None None Epilepsy from a perinatal ischaemic event None None Apparent similar clinical picture at 12 yo, treated with steroids None
System of onset Eye Eye Auditory Neurologic Neurologic Neurologic Auditory Auditory
Neurologic symptoms Unilateral weakness, dysarthria and apathy Ataxia and dysarthria Amnestic syndrome, Gait disorder, Bilateral severe weakness Bilateral severe weakness and dysarthria Encephalopathic syndrome and Unilateral weakness Bilateral severe weakness and progressive cognitive affection None Cognitive affection (frontal medial syndrome) and bilateral weakness
Ophthalmologic symptoms Visual field deficit Visual field deficit Loss of visual acuity Loss of visual acuity Visual field deficit None Loss of visual acuity and visual field deficit Loss of visual acuity
Auditory symptoms Bilateral neurosensorial hearing loss Bilateral tinnitus and neurosensorial hearing loss Tinnutus Right neurosensorial hearing loss Neurosensorial hearing loss Left neurosensorial hearing loss Tinnitus and left neurosensorial hearing loss Tinnitus and bilateral neurosensorial hearing loss
Additional or atypical affection None None Cervical cord involvement None Livedo racemosa None None None
Time until fully triad (months) 1 2 6 4 1.5 Not completed Not completed 6



MRI findings
Deep grey matter No Not done Yes Yes Yes Yes No Yes
White matter Callosal and periventricular Not done Callosal and periventricular lesions Callosal Callosal and periventricular lesions Callosal and periventricular lesions No Callosal
Posterior fossa involvement No Not done Yes No, but also reported meningeal enhancement Yes Yes No No
Gadolinium enhancement No reported Not done Yes No reported Yes No reported No Yes



CSF findings
Proteins mg/dl No reported 252 95 2000 1800 1009 No performed 77
Cells (Mono) No reported 0 6 9 No reported No reported No performed 0



Treatment
Initial treatment Heparin None IVMP × 5 IVMP × 3 IVMP × 5 IGIV × 5 IVMP × 5 IVMP × 5
Response Partial Partial No response Partial Complete response Partial No response
2nd line treatment None None Oral prednisone PLEX and IVIg Oral prednisone None None IgIV
Chronic treatment Warfarin Oral prednisone MMF MMF MMF + MTX AZA Oral prednisone CCF
Response Almost complete recovery Partial remission Partial remission No response Almost complete recovery Almost complete recovery Almost complete recovery Partial remission



Prognosis
Follow up (years) 0.2 4 1.5 3.5 1 0.2 3 0.5
Sequels Visual deficit Mild hearing loss Cognitive deficit with visuospatial and word recall No specified Mild cognitive deficit Subtle weakness Mild left hearing loss Cognitive deficit
Course of disease Monocyclic Monocyclic Chronic continuous Probably Monocyclic Probably Monocyclic Monocyclic Probably Monocyclic
Final pregnancy state Healthy product Healthy product Healthy product Therapeutic abortion at 15 weeks GA Healthy product Healthy product Healthy product Therapeutic abortion at 17 weeks GA