Terson syndrome was admitted to the ophthalmology department, complaining. A 50yearold woman with subarachnoid hemorrhage and unilateral vitreous hemorrhage. The data, combined with sdoct results and intraoperative observations of those terson syndrome patients, suggest that blood may enter the vitreous cavity around the retinal vessels surrounding the optic disc. Vitreous hemorrhage of the eye can also occur in association with intracranial hemorrhage and elevated intracranial pressure icp. A 50yearold woman with subarachnoid hemorrhage and unilateral vitreous. A case of tersonlike syndrome in a patient with viral. Sep 20, 2018 a case series of terson syndrome patients was analyzed with scanning laser ophthalmoscopy, which revealed blood spreading along vessels. Tersons syndrome article pdf available in the canadian journal of neurological sciences.
Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. After a complete neurological examination, funduscopic examination. Terson syndrome or terson s syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. Tersons syndrome as a prognostic factor for mortality of. Sah generally occurs as a result of a ruptured cerebral aneurysm. Terson syndrome was described in 1900 by alfres terson, a french ophthalmologist. Terson syndrome has been reported to occur in 50% of patients with subarachnoid hemorrhage clinical features. Review of ct head scans revealed previously missed retinal hemorrhages and funduscopy confirmed vitreous hemorrhage.
Dystonia is a group of movement disorders that vary in their symptoms, causes, progression, and treatments. To improve understanding of vision loss and clinical. Terson syndrome is now recognized as intraocular hemorrhage associated with sah, intracerebral hemorrhage, or traumatic brain injury. Terson syndrome, that underwent bilateral pars plana vitrectomy 1 week. Abstract introduction terson syndrome is described as an intraocular hemorrhage conse quent to a spontaneous subarachnoid hemorrhage ssah. Similarly, fine vitreous strands, usually joining the gel mass to the posterior pole, are not seen.
Lemorragia del vitreo dellocchio puo verificarsi anche in associazione con emorragia intracranica e aumento della pressione intracranica. To analyze the incidence, clinical course, ophthalmic findings, and prognosis of the patients with intracranial bleeding and terson s syndrome. Subarachnoid haemorrhage sah associated with vitreous haemorrhage was first described by french ophthalmologist albert terson in 1900. The authors estimate the incidence of terson syndrome in children with intracranial. Subinner limiting membrane hemorrhage in a patient with terson. However, tersons description of vitreous hemorrhage following subarachnoid hemorrhage in 1900 is now associated with this syndrome. In addition to clinical features of severe subarachnoid hemorrhage, such as headache and coma, patients present with varying degrees of vision loss 4. Terson syndrome a case report suggesting the mechanism of vitreous hemorrhage.
It is thought to be due to a rapid increase in icp. It corresponds to a subhyloid hemorrhage with involvement of the vitreous in the setting of acute aneurysmal subarachnoid hemorrhage. Meige syndrome nord national organization for rare. Terson syndrome, vitreous hemorrhage, subhyaloid hemorrhage, arnoldchiari malformation, epiretinal membrane. To present a patient with terson syndrome and to propose a mechanism for vitreous hemorrhage.
A prospective, consecutive case series study was conducted in patients admitted to the emergency room with a diagnosis of acute subarachnoid haemorrhage. Terson syndrome a case report suggesting the mechanism. Terson s syndrome occurs in up to 40% of acute aneurysmal bleeds. The ocular pathology of terson s syndrome fang ko, md, david l. Terson syndrome american journal of neuroradiology. However, the patient remained in a poor neurologic state and expired several days later. Intraocular hemorrhage can be a subretinal, retinal, preretinal, subhyaloidal, or intravitreal hemorrhage. Hua r, liu lm, hu yd, zhou y, chen l 20 combine intravitreal. To evaluate the prognosis of mortality in patients with spontaneous subarachnoid haemorrhage associated with terson s syndrome. Terson syndrome is characterized by intraocular hemorrhage secondary to subarachnoidal or subdural hemorrhage. A case series of terson syndrome patients was analyzed with scanning laser ophthalmoscopy, which revealed blood spreading along vessels. Requiere tratamiento con trihexifenidilo, lorazepam, clonazepam, baclofeno o toxina botulinica. Meige syndrome belongs to a group of disorders known as dystonia.
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