Terson syndrome or terson s syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. To improve understanding of vision loss and clinical. In addition to clinical features of severe subarachnoid hemorrhage, such as headache and coma, patients present with varying degrees of vision loss 4 fundoscopic examination is diagnostic, with patients having evidence of vitreous hemorrhage and perhaps other. Three prospective studies satisfied the inclusion criteria. Seven patients 50% with terson s syndrome died, whereas death occurred in three patients 9% without terson s syndrome p 0. Terson syndrome can present with domeshaped hemorrhages in the macula.
Although early studies attempted to link this syndrome with aneurysms of the anterior communicating artery, statistical analysis has not correlated it with a specific aneurysmal location. Treatment of tersons syndrome is based on observation or surgery. Terson s syndrome occurs in up to 40% of acute aneurysmal bleeds. Intraocular hemorrhage can be a subretinal, retinal, preretinal, subhyaloidal, or intravitreal hemorrhage. The syndrome is a poor prognostic marker in patients with subarachnoid hemorrhage.
Conceito compreende uma rara e grave variante da preeclampsia, conforme descreve weinstein, em. Vitreous hemorrhage of the eye can also occur in association with intracranial hemorrhage and elevated intracranial pressure icp. There were more than twice as many women as men, a finding consistent with the sex. The ocular pathology of tersons syndrome fang ko, md, david l. Fundal haemorrhages in ruptured intracranial aneur10. Pdf a 51yearold male was admitted following subarachnoid hemorrhage. The sudden spike in intracranial pressure icp with aneurysmal rupture is thought to underlie the cause of ioh as well as the high incidence of coma, higher hunt and hess grades, and mortality in these patients.
Pdf we retrospectively evaluated the results of parsplana vitrectomy performed in 14 eyes nine patients with vitreous hemorrhage due to terson s. Ocular findings in terson s syndrome were preretinal. Two reports appeared to be from the same cohort of patients. Treatment of tersons syndrome is based on observation or surgery according to different criteria. In seven cases of terson s syndrome, an elevated, domeshaped, membrane was detected in the posterior pole by ophthalmoscopy, echography, or during pars plana vitrectomy. Lemorragia del vitreo dellocchio puo verificarsi anche in associazione con emorragia intracranica e aumento della pressione intracranica 1. The case is presented on a 63yearold patient with tersons syndrome who complained of loss of visual acuity. Terson syndrome has been reported to occur in 50% of patients with subarachnoid hemorrhage clinical features. Terson syndrome has been described most commonly in subarachnoid hemorrhages due to ruptured cerebral aneurysms. Sep 20, 2018 terson syndrome has been described most commonly in subarachnoid hemorrhages due to ruptured cerebral aneurysms. Terson syndrome refers to vitreous hemorrhage associated with subarachnoid hemorrhage, however, some authors include retinal hemorrhage as well. Terson syndrome a case report suggesting the mechanism of.