To characterize the epidemiological Susac's Syndrome
10 years
Variables collected at inclusion: Date of birth
1. To characterize the epidemiological of Susac's Syndrome
10 years
Variables collected at inclusion:
• Place of birth
1. To characterize the epidemiological of Susac's Syndrome
10 years
• Variables collected at inclusion: Sex
1. To characterize the epidemiological of Susac's Syndrome
10 years
• Variables collected at inclusion : Date of first symptom
1. To characterize the epidemiological of Susac's Syndrome
10 years
• Variables collected at inclusion: Date of diagnosis
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at inclusion :
• Personal medical history
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at inclusion :
• Gynaecological history
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at inclusion :
• Surgical history
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at inclusion :
• Family history
2. To characterize the etiological of Susac's Syndrome
10 years
• Variables collected at inclusion : Previous travel and vaccination status
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at inclusion :
• Any symptoms (flu-like illness, fever)
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at each visit :
• - Weight in kilograms
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at each visit :
• - Tobacco consumption
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at each visit :
• - Use of oestroprogestogenic contraception
2. To characterize the etiological of Susac's Syndrome
10 years
Variables collected at each visit :
• - Alcohol consumption
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset : Headache
3. To characterize the clinical of Susac's Syndrome
10 years
Neurology: Neurological symptoms: present / absent / date of onset :
• Sensory disturbance
3. To characterize the clinical of Susac's Syndrome
10 years
Neurology: Neurological symptoms: present / absent / date of onset :
• Motor deficit
3. To characterize the clinical of Susac's Syndrome
10 years
Neurology: Neurological symptoms: present / absent / date of onset :
• Osteotendinous pyramidal reflexes
3. To characterize the clinical of Susac's Syndrome
10 years
Neurology: Neurological symptoms: present / absent / date of onset :
• Babinski sign
3. To characterize the clinical of Susac's Syndrome
10 years
Neurology: Neurological symptoms: present / absent / date of onset :
• Hoffman's sign
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Tact sensitivity disorder
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Thermoal sensitivity deficit
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
Proprioceptive disorder :
• If yes, specify :
* Ataxia
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
Proprioceptive disorder :
• If yes, specify :
* Anomaly of the sense of position of the big toe
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Paresthesias
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Encephalopathy, If yes, specify the signs present:
* Confusion
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Encephalopathy, If yes, specify the signs present:
* Obnubilation
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Encephalopathy, If yes, specify the signs present:
* Coma
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Encephalopathy, If yes, specify the signs present:
* Agitation
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Encephalopathy, If yes, specify the signs present:
* Temporo-spatial disorientation
3. To characterize the clinical of Susac's Syndrome
10 years
1\) Neurology: Neurological symptoms: present / absent / date of onset :
• Encephalopathy, If yes, specify the signs present:
* Fluctuating memory disorders
3. To characterize the clinical of Susac's Syndrome
10 years
• Any sequelae : Results of neurocognitive assessment : BREF
3. To characterize the clinical of Susac's Syndrome
10 years
Any sequelae : • Results of neurocognitive assessment: MMS
3. To characterize the clinical of Susac's Syndrome
10 years
Any sequelae : For mood disorders and quality of life: DSMIV criteria for depression
3. To characterize the clinical of Susac's Syndrome
10 years
Any sequelae : For mood disorders and quality of life: SF36
3. To characterize the clinical of Susac's Syndrome
10 years
Any sequelae : • For disability : Barthel Index
3. To characterize the clinical of Susac's Syndrome
10 years
• Any sequelae : For disability : Rankin score
3. To characterize the clinical of Susac's Syndrome
10 years
Ophthalmology
• Ophthalmological examination results : Fundus
3. To characterize the clinical of Susac's Syndrome
10 years
Ophthalmology
• Ophthalmological examination results : Visual field
3. To characterize the clinical of Susac's Syndrome
10 years
Ophthalmology
• Ophthalmological examination results : o Angiography
3. To characterize the clinical of Susac's Syndrome
10 years
• Ophthalmology Ophthalmological symptoms: scotoma
3. To characterize the clinical of Susac's Syndrome
10 years
Ophthalmology : Ophthalmological symptoms: decrease in visual acuity
3. To characterize the clinical of Susac's Syndrome
10 years
Ophtalmology : Evolution of retinal arterial occlusions: improvement
3. To characterize the clinical of Susac's Syndrome
10 years
Ophthalmology : Evolution of retinal arterial occlusions: stability
3. To characterize the clinical of Susac's Syndrome
10 years
Ophthalmology : Evolution of retinal arterial occlusions: worsening
3. To characterize the clinical of Susac's Syndrome
10 years
• Ophthalmology : Sequelae
3. To characterize the clinical of Susac's Syndrome
10 years
ENT :
* Cochlear symptoms: vertigo, tinnitus, ataxia, hearing loss
3. To characterize the clinical of Susac's Syndrome
10 years
ENT:
• Audiogram results
3. To characterize the clinical of Susac's Syndrome
10 years
ENT
• Results of vestibular examinations
3. To characterize the clinical of Susac's Syndrome
10 years
ENT
• Course of deafness: improvement, stability, worsening
3. To characterize the clinical of Susac's Syndrome
10 years
ENT :
• Possible sequelae (functional discomfort, psycho-social repercussions, follow-up audiograms)