The ocular pathology of terson s syndrome fang ko, md, david l. Tersons syndrome as a prognostic factor for mortality of. The proposed mechanism of tersons syndrome is increased intracranial pressure that leads to dilation of the retrobulbar optic nerve and. After a complete neurological examination, funduscopic examination.
Terson syndrome was described in 1900 by alfres terson, a french ophthalmologist. Vitreous hemorrhage of the eye can also occur in association with intracranial hemorrhage and elevated intracranial pressure icp. To evaluate the prognosis of mortality in patients with spontaneous subarachnoid haemorrhage associated with terson s syndrome. Tersons syndrome is represented by a vitreous, retrohyaloid, retinal, or subretinal hemorrhage occurring consequent to an acute intracranial. A case series of terson syndrome patients was analyzed with scanning laser ophthalmoscopy, which revealed blood spreading along vessels. Terson syndrome is now recognized as intraocular hemorrhage associated with sah, intracerebral hemorrhage, or traumatic brain injury. A case of tersonlike syndrome in a patient with viral. Terson syndrome, that underwent bilateral pars plana vitrectomy 1 week. The authors estimate the incidence of terson syndrome in children with intracranial. A 50yearold woman with subarachnoid hemorrhage and unilateral vitreous hemorrhage.
It is thought to be due to a rapid increase in icp. A prospective, consecutive case series study was conducted in patients admitted to the emergency room with a diagnosis of acute subarachnoid haemorrhage. However, tersons description of vitreous hemorrhage following subarachnoid hemorrhage in 1900 is now associated with this syndrome. To improve understanding of vision loss and clinical. However, the patient remained in a poor neurologic state and expired several days later. Subarachnoid haemorrhage sah associated with vitreous haemorrhage was first described by french ophthalmologist albert terson in 1900. Lemorragia del vitreo dellocchio puo verificarsi anche in associazione con emorragia intracranica e aumento della pressione intracranica. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. Terson syndrome was admitted to the ophthalmology department, complaining. 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. Meige syndrome belongs to a group of disorders known as dystonia. In addition to clinical features of severe subarachnoid hemorrhage, such as headache and coma, patients present with varying degrees of vision loss 4.
Hua r, liu lm, hu yd, zhou y, chen l 20 combine intravitreal. Review of ct head scans revealed previously missed retinal hemorrhages and funduscopy confirmed vitreous hemorrhage. Similarly, fine vitreous strands, usually joining the gel mass to the posterior pole, are not seen. It corresponds to a subhyloid hemorrhage with involvement of the vitreous in the setting of acute aneurysmal subarachnoid hemorrhage. Terson syndrome or terson s syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. Meige syndrome nord national organization for rare. Terson syndrome a case report suggesting the mechanism of vitreous hemorrhage. Terson syndrome american journal of neuroradiology. Terson syndrome is characterized by intraocular hemorrhage secondary to subarachnoidal or subdural hemorrhage. Terson syndrome, vitreous hemorrhage, subhyaloid hemorrhage, arnoldchiari malformation, epiretinal membrane.
Tersons syndrome article pdf available in the canadian journal of neurological sciences. A 50yearold woman with subarachnoid hemorrhage and unilateral vitreous. To analyze the incidence, clinical course, ophthalmic findings, and prognosis of the patients with intracranial bleeding and terson s syndrome. Terson s syndrome occurs in up to 40% of acute aneurysmal bleeds. Dystonia is a group of movement disorders that vary in their symptoms, causes, progression, and treatments. Le journal canadien des sciences neurologiques 376. Sah generally occurs as a result of a ruptured cerebral aneurysm.
Sep 20, 2018 a case series of terson syndrome patients was analyzed with scanning laser ophthalmoscopy, which revealed blood spreading along vessels. Abstract introduction terson syndrome is described as an intraocular hemorrhage conse quent to a spontaneous subarachnoid hemorrhage ssah. Subinner limiting membrane hemorrhage in a patient with terson. Requiere tratamiento con trihexifenidilo, lorazepam, clonazepam, baclofeno o toxina botulinica. Terson syndrome has been reported to occur in 50% of patients with subarachnoid hemorrhage clinical features. Terson syndrome a case report suggesting the mechanism. To present a patient with terson syndrome and to propose a mechanism for vitreous hemorrhage.