| Retinal arterial wall plaques in Susac syndrome. | |
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MedLine Citation:
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PMID: 12654364 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To demonstrate retinal arterial wall plaques (RAWPs) in patients with Susac syndrome, a disorder that consists of the triad of branch retinal artery occlusion, encephalopathy, and hearing loss. The clinician may misinterpret these RAWPs as emboli. DESIGN: Observational case series. METHODS: Four patients (one man and three women, aged 21-38 years) were examined and followed. RESULTS: Four patients with Susac syndrome had RAWPs in association with branch retinal artery occlusions. They were present in six of eight eyes. The plaques were yellow to yellow-white and located usually away from retinal bifurcations. Retinal arterial wall plaques occur at the midarteriolar segments, whereas Hollenhorst plaques occur at vascular bifurcations. Four of six eyes had resolution of the plaques. CONCLUSIONS: Retinal arterial wall plaques may occur with branch retinal artery occlusions in Susac syndrome. This finding should help the clinician who is struggling to make a diagnosis in a patient with an enigmatic encephalopathy and/or hearing loss. These plaques may resolve over time. |
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Authors:
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Robert A Egan; Thuy Ha Nguyen; J Donald M Gass; Joseph F Rizzo; John Tivnan; John O Susac |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of ophthalmology Volume: 135 ISSN: 0002-9394 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-03-25 Completed Date: 2003-04-01 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 483-6 Citation Subset: AIM; IM |
Affiliation:
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Casey Eye Institute, Oregon Health Sciences University, Portland, Oregon, USA. eganr@ohsu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteriosclerosis / diagnosis*, physiopathology Brain Diseases / diagnosis*, physiopathology Cerebrovascular Disorders / diagnosis, physiopathology Cochlea / blood supply Female Hearing Loss, Sensorineural / diagnosis*, physiopathology Humans Male Retinal Artery / pathology* Retinal Artery Occlusion / diagnosis*, physiopathology Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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