Susac syndrome is a rare. probably immune-mediated endotheliopathy presenting with encephalopathy. sensorineural hearing loss and retinal arterial occlusions. A 33-year-old female with Susac syndrome was worsening despite high-dose steroids so a brain biopsy was performed which suggested a possible fungal infection. https://www.miamistares.shop/product-category/stack-kits/