Terson syndrome secondary to subarachnoid hemorrhage: a case report and literature review.

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Terson syndrome secondary to subarachnoid hemorrhage: a case report and literature review.

World Neurosurg. 2018 Dec 29;:

Authors: Ren Y, Wu Y, Guo G

Abstract
BACKGROUND: Terson syndrome is a serious complication of subarachnoid hemorrhage includes any intraocular hemorrhage and may result in blurred vision or even blindness. However, it is often overlooked clinically.
CASE DESCRIPTION: A 42-year-old man presented with coma due to rupture of a left posterior communicating artery aneurysm. A preoperative CT scan demonstrated subarachnoid hemorrhage (SAH) and bilateral fundus hemorrhage. Visual evoked potential (VEP) 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.
CONCLUSIONS: 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.

PMID: 30599249 [PubMed - as supplied by publisher]

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