Evidence map›Paper›PMID 32878610›Full record

ArticleBMC neurology2020

Increased incidence of Susac syndrome: a case series study.

A Wilf-Yarkoni, O Elkayam, O Aizenstein, Y Oron, V Furer, D Zur, M Goldstein, D Barequet, H Hallevi, A Karni and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06349603 (Integrated Physiotherapy Approach for Susac Syndrome), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06349603 completednot on this mapstarted 2023, after this paper: background citation

Integrated Physiotherapy Approach for Susac Syndrome: A Comprehensive Case Study

TypeobservationalSponsorRehabilitation Centre ZivotRan2023 to 2023Enrolled1ConditionsSusac Syndrome
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Susac syndrome: A rare pediatric case.Radiology case reports · 2024
    Article
  5. The neurocognitive and neuropsychiatric manifestations of Susac syndrome: a brief review of the literature and future directions.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Characteristics and management of Susac syndrome in an emergent country: a multi-center case series from Brazil.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  13. Susac Syndrome: A Rare cause of Bilateral Sensorineural hearing loss from North India-A Case Report with Review of literature.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

A Wilf-YarkoniNeuro-Immunology Service and Department of Neurology Rabin Medical Center, 4941492, Petach Tikva, Israel. adi.wilf@gmail.com.ORCID http://orcid.org/0000-0002-2584-5793
O ElkayamDepartment of Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
O AizensteinNeuroradiology unit, Department of Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Y OronDepartment of ENT, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
V FurerDepartment of Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
D ZurSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
M GoldsteinSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
D BarequetSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
H HalleviNeuroimmunology and Multiple Sclerosis Unit of the Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
A KarniSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Z Habot-WilnerSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
K RegevNeuroimmunology and Multiple Sclerosis Unit of the Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Tel Aviv University · ILTel Aviv Sourasky Medical Center · ILRabin Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSusac syndrome (SuS) is a rare condition characterized by a clinical triad of sensorineural hearing loss, branch artery occlusion and encephalopathy. This study reports an increased incidence of SuS in Israel. We describe the clinical characteristics of these patients, diagnostic procedures and the use and subsequent outcomes of newly published treatment guidelines.

methodsThis is a single center retrospective study. Patients who were diagnosed with SuS between July 2017 and August 2018 were enrolled in this study.

resultsSeven patients were diagnosed with SuS according to the diagnostic criteria in a time period of 13 months. The annual incidence was recently evaluated in Austria to be 0.024/100000, therefore, our case series represent at least a 5.4- fold increase in the annual incidence of SuS expected in Israel and a 7-fold increase in the annual incidence expected in our medical center. Mean time from the onset of the symptoms to diagnosis was three weeks and follow-up time was twenty four months. Recent exposure to cytomegalovirus was serologically evident in three patients and one patient had high titer of anti-streptolysin antibody. All patients underwent brain MRI, fluorescein angiography and audiometry. All patients were treated according to the newly recommended guidelines. All patients achieved clinical and radiological stability.

conclusionsWe report of an increased incidence of SuS in Israel. Infectious serological findings may imply a post infectious mechanism. The use of the recommended diagnostic procedures reduced the time to diagnosis. Newly published treatment guidelines led to favorable clinical outcomes.

Indexed as

Magnetic Resonance ImagingAdultBrain DiseasesFemaleFluorescein AngiographyHumansIncidenceMaleRadiographyRetrospective StudiesSusac SyndromeYoung AdultBranch retinal artery occlusioncmv post infectiousSusac syndromeTreatment

Identifiers

PMID32878610
PMCPMC7465403
OpenAlexW3081861814

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.