Terson Syndrome Secondary to Subarachnoid Hemorrhage: A Case Report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30599249.
- Also identified by DOI 10.1016/j.wneu.2018.12.084.
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Abstract
Terson syndrome is a serious complication of subarachnoid hemorrhage (SAH) that includes any intraocular hemorrhage and may result in blurred vision or even blindness. However, it is often overlooked clinically. A 42-year-old man presented with coma due to rupture of a left posterior communicating artery aneurysm. A preoperative computed tomography scan demonstrated SAH and bilateral fundus hemorrhage. Visual evoked potential and B-scan ocular ultrasound revealed vitreous hemorrhages, features consistent with Terson syndrome. Pars plana vitrectomy was performed 2 weeks after SAH with a subsequent improvement of visual acuity. Early identification is important for the recovery of the patient's nervous system and ophthalmology. Neurosurgeons should be aware of the pathology and pay attention to it to maximize patient's benefit.