Terson's syndrome: a reversible cause of blindness following subarachnoid hemorrhage

1992 ◽  
Vol 76 (5) ◽  
pp. 766-771 ◽  
Author(s):  
Andrew M. Garfinkle ◽  
Irena R. Danys ◽  
David A. Nicolle ◽  
Austin R. T. Colohan ◽  
Steven Brem
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Vitreous Hemorrhage ◽  
Initial Examination ◽  
Content Type ◽  
Breakthrough Bleeding ◽  
Intraocular Hemorrhage ◽  
Terson’S Syndrome ◽  
Terson's Syndrome ◽  
A Prospective Study ◽  
Fine Print

✓ Terson's syndrome refers to the occurrence of vitreous hemorrhage with subarachnoid hemorrhage (SAH), usually due to a ruptured cerebral aneurysm. Although it is a well-described entity in the ophthalmological literature, it has been only rarely commented upon in the neurosurgical discussion of SAH. Fundus findings are reported in a prospective study of 22 consecutive patients with a computerized tomography- or lumbar puncture-proven diagnosis of SAH. Six of these patients had intraocular hemorrhage on initial examination. In four patients vitreous hemorrhage was evident on presentation (six of eight eyes). In the subsequent 12 days, vitreous hemorrhage developed in the additional two patients (three of four eyes) due to breakthrough bleeding from the original subhyaloid hemorrhages. The initial amount of intraocular hemorrhage did not correlate with the severity of SAH. Two of the six patients with intraocular hemorrhage died, whereas five of the 16 remaining SAH patients without intraocular hemorrhage died. Of the four survivors with intraocular hemorrhage, three showed gradual but significant improvement in their visual acuity by 6 months. The fourth underwent vitrectomy at 8 months after presentation and had a good visual result. With modern and aggressive medical and microsurgical management, Terson's syndrome should be recognized as an important reversible cause of blindness in patients surviving SAH.

Terson's syndrome in spontaneous subarachnoid hemorrhage: a prospective study in 60 consecutive patients

1996 ◽  
Vol 85 (3) ◽  
pp. 392-394 ◽  
Author(s):  
Bettina Pfausler ◽  
Regina Belcl ◽  
Regina Metzler ◽  
Iradj Mohsenipour ◽  
Erich Schmutzhard
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Poor Prognosis ◽  
Case Fatality ◽  
Content Type ◽  
Anatomical Localization ◽  
Terson’S Syndrome ◽  
Terson's Syndrome ◽  
Prognostic Implications ◽  
A Prospective Study ◽  
Spontaneous Subarachnoid Hemorrhage

✓ Sixty consecutive patients with spontaneous subarachnoid hemorrhage (SAH) were prospectively studied by means of indirect funduscopy to address the question of incidence and prognostic implications of Terson's syndrome (TS) after SAH. Terson's syndrome was diagnosed in 10 (16.7%) of 60 patients and was associated with subarachnoid rebleeding in seven of 10. No correlation was found between anatomical localization of the ruptured aneurysm and TS laterality. Case fatality was nine (90%) of 10 in patients with TS compared to five (10%) of 50 in non-TS patients. It is concluded that TS is not infrequent (16.7%) in spontaneous SAH and has a poor prognosis, often heralding subarachnoid rebleeding.

scholarly journals Terson's Syndrome Due to Aneurismal Subarachnoid Hemorrhage

2017 ◽  
Vol 8 (2) ◽  
pp. 153-156
Author(s):  
Sanwar Hossain ◽  
Titus Leonard Guda ◽  
Forhad Chowdhury ◽  
Md Somir Hossain
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Vitreous Hemorrhage ◽  
Retinal Hemorrhage ◽  
Intracranial Hemorrhages ◽  
Medical College ◽  
Intraocular Hemorrhage ◽  
Terson’S Syndrome ◽  
Terson's Syndrome

Vitreous or retinal hemorrhage occurring in association with subarachnoid hemorrhage is known as Terson's syndrome. In Terson's syndrome, intracranial hemorrhages are followed by intraocular hemorrhage, classically in the subhyaloid space, but may also include subretinal, retinal, preretinal, and vitreal collections. Usually occurs in adult, but can be at any age. It may be unilateral or bilateral. Vitreous hemorrhage recovery is usually spontaneous within 6 to 12 months, otherwise vitrectomy is considered. We report a case of Terson's syndrome which was admitted in Anwer Khan Modern Medical College & Hospital as unilateral Terson's syndrome with multiple intra retinal hemorrhage of left eye associated with Hypertension & Diabetes Mellitus.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 153-156

Terson's syndrome in subarachnoid hemorrhage and severe brain injury accompanied by acutely raised intracranial pressure

1998 ◽  
Vol 88 (5) ◽  
pp. 851-854 ◽  
Author(s):  
Ralph J. Medele ◽  
Walter Stummer ◽  
Arthur J. Mueller ◽  
Hans-Jakob Steiger ◽  
Hans-Jürgen Reulen
Keyword(s):  
Brain Injury ◽  
Vitreous Hemorrhage ◽  
Raised Intracranial Pressure ◽  
Severe Brain Injury ◽  
Content Type ◽  
Terson’S Syndrome ◽  
Terson's Syndrome ◽  
Acute Event ◽  
Fine Print ◽  
Similar Incidence

Object. The syndrome of retinal or vitreous hemorrhage in association with subarachnoid hemorrhage (SAH) is known as Terson's syndrome. The authors' purpose was to determine whether intraocular hemorrhage occurs with similar incidence when caused by severe brain injury accompanied by acutely raised intracranial pressure (ICP). Methods. Prospective ophthalmological examination was performed in 22 consecutive patients with SAH or severe brain injury and elevated ICP. Thirteen patients were admitted for SAH (World Federation of Neurological Surgeons Grades II–IV) and nine for severe brain injury (Glasgow Coma Scale scores 3–10). Monitoring of ICP was performed at the time of admission via a ventricular catheter. Initial ICP exceeded 20 mm Hg in all patients. Indirect ophthalmoscopy without induced mydriasis was performed within the 1st week after the acute event. Retinal or vitreous hemorrhage was seen in six (46%) of 13 patients with SAH and in four (44%) of nine patients with severe brain injury. Ocular bleeding was found bilaterally in three patients with SAH and in one patient with severe brain injury (18%). Six of the 10 patients with Terson's syndrome died as a result of their acute event. Conclusions. The present results indicate that Terson's syndrome may be related to acute elevation of ICP, independent of its causes, and may occur with similar incidence in patients with severe brain injury and those with SAH. Because recognition and treatment of Terson's syndrome may prevent visual impairment and associated secondary damage to the eye, increased awareness of this entity in all patients with acute raised intracranial hypertension is recommended.

scholarly journals Terson's syndrome

1970 ◽  
Vol 1 (1) ◽  
pp. 77-79
Author(s):  
R Sharma ◽  
JK Shrestha
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Visual Impairment ◽  
Key Words ◽  
Clinical Features ◽  
Vitreous Hemorrhage ◽  
Altered Sensorium ◽  
Terson’S Syndrome ◽  
Terson's Syndrome

Terson's syndrome is rarely encountered in ophthalmic practice. The ophthalmologists should be acquainted with the clinical features and methods of diagnosis of this syndrome. Here we report a middleaged lady with altered sensorium, visual impairment and headache who was diagnosed as having Terson's syndrome after fundoscopy and spinal tap. It was managed conservatively. Key words: vitreous hemorrhage; subarachnoid hemorrhage DOI: 10.3126/nepjoph.v1i1.3678 Nep J Oph 2009;1(1):77-79

Terson's syndrome in subarachnoid hemorrhage and severe brain injury accompanied by acutely raised intracranial pressure

2001 ◽  
Vol 11 (4) ◽  
pp. 851-854
Author(s):  
Ralph J. Medele ◽  
Walter Stummer ◽  
Arthur J. Mueller ◽  
Hans-Jakob Steiger ◽  
Hans-Jürgen Reulen
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Brain Injury ◽  
Intracranial Pressure ◽  
Vitreous Hemorrhage ◽  
Raised Intracranial Pressure ◽  
Severe Brain Injury ◽  
Terson’S Syndrome ◽  
Terson's Syndrome ◽  
Acute Event ◽  
Similar Incidence

Object The syndrome of retinal or vitreous hemorrhage in association with subarachnoid hemorrhage (SAH) is known as Terson's syndrome. The authors' purpose was to determine whether intraocular hemorrhage occurs with similar incidence when caused by severe brain injury accompanied by acutely raised intracranial pressure (ICP). Methods Prospective ophthalmological examination was performed in 22 consecutive patients with SAH or severe brain injury and elevated ICP. Thirteen patients were admitted for SAH (World Federation of Neurological Surgeons Grades II–IV) and nine for severe brain injury (Glasgow Coma Scale scores 3–10). Monitoring of ICP was performed at the time of admission via a ventricular catheter. Initial ICP exceeded 20 mm Hg in all patients. Indirect ophthalmoscopy without induced mydriasis was performed within the 1st week after the acute event. Retinal or vitreous hemorrhage was seen in six (46%) of 13 patients with SAH and in four (44%) of nine patients with severe brain injury. Ocular bleeding was found bilaterally in three patients with SAH and in one patient with severe brain injury (18%). Six of the 10 patients with Terson's syndrome died as a result of their acute event. Conclusions The present results indicate that Terson's syndrome may be related to acute elevation of ICP, independent of its causes, and may occur with similar incidence in patients with severe brain injury and those with SAH. Because recognition and treatment of Terson's syndrome may prevent visual impairment and associated secondary damage to the eye, increased awareness of this entity in all patients with acute raised intracranial hypertension is recommended.

scholarly journals Terson's syndrome: report of a case with favorable outcome

1998 ◽  
Vol 56 (1) ◽  
pp. 133-136
Author(s):  
GIULIO CESARE PINNOLA ◽  
SÉRGIO MURILO CORRÊA ◽  
SÔNIA BEATRIZ F. RIBEIRO ◽  
ALFREDO LEBOREIRO-FERNANDEZ ◽  
JAIME OLAVO MARQUEZ
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Early Diagnosis ◽  
Intracranial Hemorrhage ◽  
Vitreous Hemorrhage ◽  
Medical Intervention ◽  
Favorable Outcome ◽  
Favorable Prognosis ◽  
Terson’S Syndrome ◽  
Terson's Syndrome ◽  
Syndrome Report

Terson's syndrome is characterized by the presence of a subarachnoid hemorrhage accompanied by retinal and vitreous hemorrhage leading to a not very favorable prognosis. We describe a case with a good outcome, probably because of a early diagnosis and medical intervention. We emphasize the routine optician's check up as very important in the evaluation of a prognosis in the cases of a suspect intracranial hemorrhage .

Relationship of aneurysmal subarachnoid hemorrhage to changes in atmospheric pressure: results of a prospective study

2001 ◽  
Vol 95 (3) ◽  
pp. 391-392 ◽  
Author(s):  
Neil Buxton ◽  
Clarence Liu ◽  
Davor Dasic ◽  
Paula Moody ◽  
D. Terence Hope
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Atmospheric Pressure ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Rank Correlation ◽  
Content Type ◽  
Spearman’S Rank Correlation ◽  
Time Period ◽  
A Prospective Study ◽  
Relationship Of ◽  
Fine Print

Object. The purpose of this study was to evaluate the relationship between atmospheric pressure and subarachnoid hemorrhage (SAH) in a region in the English Midlands. Methods. All patients with angiographically proven SAH for the calendar year 1998 were analyzed. A geographical allocation was made based on the patients' origin within the region. The events were then compared with the data available for the local atmospheric pressures. One hundred nine patients had an SAH during the time period studied. The median atmospheric pressure recorded was 1014.5 millibars. Atmospheric pressure was modestly correlated with the number of SAHs per day (Spearman's rank correlation, r = 0.33; p < 0.0001); the daily change in atmospheric pressure also correlated mildly (r = 0.34, p < 0.0001). No other statistically significant association was found. Conclusions. The authors have shown a relationship between high atmospheric pressure and increased incidence of SAH. The underlying reason for this remains obscure.

Aneurysm-induced third nerve palsy

1972 ◽  
Vol 36 (5) ◽  
pp. 548-551 ◽  
Author(s):  
Iftikhar A. Raja
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Functional Recovery ◽  
Poor Prognosis ◽  
Nerve Palsy ◽  
Nerve Function ◽  
Content Type ◽  
Third Nerve Palsy ◽  
Carotid Ligation ◽  
Third Nerve ◽  
Fine Print

✓ Forty-two patients with aneurysm-induced third nerve palsy are described. After carotid ligation, 58% showed satisfactory and 42% unsatisfactory functional recovery. In some patients the deficit continued to increase even after carotid ligation. Early ligation provided a better chance of recovery of third nerve function. Patients in whom third nerve palsy began after subarachnoid hemorrhage had a poor prognosis. No relationship was noted between the size of the aneurysm and the recovery of third nerve function.

Arteriovenous malformation of choroid plexus

1975 ◽  
Vol 42 (4) ◽  
pp. 457-461 ◽  
Author(s):  
Charles J. Hodge ◽  
Robert B. King
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Arteriovenous Malformation ◽  
Choroid Plexus ◽  
Content Type ◽  
Fine Print

✓ The authors describe a patient with subarachnoid hemorrhage from an arteriovenous malformation of the choroid plexus and present a brief review of related reports.

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