Pérez-Lombardo, MartaAlberdi-Páramo, ÍñigoRamos-Barragán, BelénGimeno-Álvarez, Diana2023-01-252023-01-252019-08-30http://hdl.handle.net/10668/14461A 47-year-old woman presented an episode of confusion and disorientation. According to remarkable psychiatric records, she had been treated for major depression and obsessive-compulsive disorder; however, no other relevant background was known. After preliminary examinations, blood analysis and neurological tests were unspecific and inconclusive. Therefore, the case was treated as a possible psychiatric episode related to her previous psychiatric disorders. However, due to the atypical presentation of the case, a cerebral MRI was performed, which demonstrated multiple central lesions of the corpus callosum ('snowball lesions'), as well as several supratentorial white matter lesions. As a result of the follow-up of the case, sensorineural hearing loss and branch retinal artery were detected, which concluded in the classic triad and the confirmation of the diagnosis of a Susac syndrome.enbrain stem / cerebellumneuroimagingpsychiatryConfusionDiagnosis, DifferentialDissociative DisordersFemaleHumansMiddle AgedSusac SyndromeConfusion, dissociation and bizarre behaviour as the onset of an early Susac syndrome.research article31471356open access10.1136/bcr-2019-2294221757-790XPMC6720912https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720912https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720912/pdf