{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:34:28Z","timestamp":1757453668967,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,13]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>A 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 (\u2018snowball lesions\u2019), 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.<\/jats:p>","DOI":"10.1136\/bcr-2019-229422","type":"journal-article","created":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T08:28:45Z","timestamp":1567153725000},"page":"e229422","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Confusion, dissociation and bizarre behaviour as the onset of an early Susac syndrome"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5713-745X","authenticated-orcid":false,"given":"Marta","family":"P\u00e9rez-Lombardo","sequence":"first","affiliation":[{"name":"Instituto de Psiquiatr\u00eda y Salud Mental, Hospital Universitario Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00cd\u00f1igo","family":"Alberdi-P\u00e1ramo","sequence":"additional","affiliation":[{"name":"Instituto de Psiquiatr\u00eda y Salud Mental, Hospital Universitario Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bel\u00e9n","family":"Ramos-Barrag\u00e1n","sequence":"additional","affiliation":[{"name":"Hospital Universitario Virgen del Roc\u00edo, Sevilla, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Gimeno-\u00c1lvarez","sequence":"additional","affiliation":[{"name":"Instituto de Psiquiatr\u00eda y Salud Mental, Hospital Universitario Cl\u00ednico San Carlos, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,30]]},"reference":[{"key":"2025082722401665000_12.8.e229422.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2014.04.004"},{"key":"2025082722401665000_12.8.e229422.2","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2013.82"},{"key":"2025082722401665000_12.8.e229422.3","first-page":"651","article-title":"Susac syndrome: a rare cause of a confusional state","volume":"19","author":"Ben David","year":"2017","journal-title":"Isr Med Assoc J"},{"key":"2025082722401665000_12.8.e229422.4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2016-314295"},{"key":"2025082722401665000_12.8.e229422.5","doi-asserted-by":"crossref","unstructured":"Rennebohm RM , Asdaghi N , Srivastava S , et al . Guidelines for treatment of Susac syndrome \u2013 An update. Int J Stroke 2018:1\u201311.","DOI":"10.1177\/1747493017751737"},{"key":"2025082722401665000_12.8.e229422.6","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1111\/jnc.14339","article-title":"Mechanisms underlying lesion development and lesion distribution in CNS autoimmunity","volume":"146","author":"Lindner","year":"2018","journal-title":"J Neurochem"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:40:22Z","timestamp":1756359622000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":6,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,8,30]]},"published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1136\/bcr-2019-229422"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229422","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,8]]}}}