165 results match your criteria Terson Syndrome


[Clinical analysis of Terson syndrome in infants].

Zhonghua Yan Ke Za Zhi 2022 Jun;58(6):420-425

Department of Ophthalmology, Peking University People's Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing 100044, China.

To observe the clinical features, intervention and outcomes of anatomic and visual functions of Terson syndrome in infants, and to explore the appropriate timing for surgery. This retrospective study included 23 eyes of 14 infants diagnosed with vitreous hemorrhage related to Terson syndrome between May 2008 and March 2021 in Department of Ophthalmology, Peking University People's Hospital. There were 7 males (11 eyes) and 7 females (12 eyes). Read More

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Multilayered macular hemorrhages as an unusual complication of transorbital neuroendoscopic surgery.

Am J Ophthalmol Case Rep 2022 Jun 23;26:101556. Epub 2022 Apr 23.

Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA.

Purpose: To report a case of multilayered intraocular hemorrhage at the posterior pole as a complication of transorbital neuroendoscopic surgery.

Observations: Our patient underwent an uncomplicated endoscopic transorbital resection of a left sphenoid wing meningioma. In the immediate post-operative period, the patient reported blurred vision of her left eye, and dilated fundus examination demonstrated multilayered hemorrhages at the posterior pole. Read More

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Bilateral Terson Syndrome Secondary to Anterior Communicating Artery Aneurysm Rupture Associated With Spontaneous Subarachnoid Hemorrhage.

J Neuroophthalmol 2022 Mar 23. Epub 2022 Mar 23.

Department of Ophthalmology (XZS, JP, XMZ, JJM), Gansu Provincial Hospital, Lanzhou, China. Gansu University Key Laboratory for Molecular Medicine and Chinese Medicine Prevention and Treatment of Major Diseases (LL), Gansu University of Chinese Medicine, Lanzhou, China.

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Unilateral Terson Syndrome Following Distal Middle Cerebral Artery Aneurysm Rupture.

Neurohospitalist 2022 Apr 10;12(2):422-423. Epub 2022 Jan 10.

Neuroradiology and Neurointervention Service, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.

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Terson syndrome in reverse: intraventricular haemorrhage following primary intraocular haemorrhage.

Neurol Sci 2022 Jul 6;43(7):4551-4553. Epub 2022 Apr 6.

Department of Neurosurgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, NG7 2UH, Nottingham, UK.

Terson syndrome (TS) describes the presence of intraocular haemorrhage in patients with intracranial haemorrhage or traumatic brain injury. The aetiology of TS is controversial as an anatomical conduit between the vitreous humour and subarachnoid space remains contested. We herewith present a case of primary vitreous haemorrhage with secondary intracranial extension into the ventricles. Read More

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Ultrasound diagnosis of Terson syndrome as an indicator of extreme severity in neurocritical care patients.

Neurologia (Engl Ed) 2022 Mar 16. Epub 2022 Mar 16.

Servicio de Medicina Intensiva, Hospital Universitario La Paz, Madrid, Spain.

Introduction: Terson syndrome (TS) is defined as any intraocular haemorrhage identified in patients with acute intracranial pathology. TS appears to be associated with clinical severity in patients with subarachnoid haemorrhage (SAH), but the association is yet to be defined in patients with traumatic brain injury (TBI) and intracerebral haemorrhage (ICH). This study aimed to evaluate the diagnostic performance of ocular ultrasound (OU) and its usefulness in clinical practice. Read More

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Terson syndrome: Two case reports.

Int J Surg Case Rep 2022 Jan 22;90:106700. Epub 2021 Dec 22.

Radiology department, Ibn Rochd University Hospital, B.P 2698, Casablanca, Morocco.

Purpose: Vitreous or retinal hemorrhage occurring in association with subarachnoid hemorrhage (SAH) is known as Terson syndrome (TS). Its incidence is of the order of 10-50% after subarachnoid hemorrhage. We report two cases of TS with different clinical presentations, different managements, and a good final prognosis, which were managed at the Ibn Rochd hospital in Casablanca. Read More

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January 2022

Terson syndrome: A condition to keep in mind.

Med Intensiva (Engl Ed) 2022 Feb 2;46(2):118. Epub 2021 Dec 2.

Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Santander, Cantabria, Spain.

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February 2022

Terson's syndrome, the current concepts and management strategies: A review of literature.

Clin Neurol Neurosurg 2021 11 27;210:107008. Epub 2021 Oct 27.

Department of Neurosurgery, Rutgers, Robert Wood Johnson Medical School & University, Hospital, New Brunswick, NJ, USA. Electronic address:

Terson's Syndrome describes intraocular hemorrhage secondary to an acutely raised intracranial pressure (ICP). Although Terson's Syndrome is common amongst patients with subarachnoid hemorrhage (SAH), it is underdiagnosed and often overlooked. This review discusses the current understanding of the etiopathogenesis, clinical features, and management of Terson's Syndrome and highlights the visual and prognostic implications to stress the importance of timely diagnosis and management. Read More

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November 2021

An explanation for Terson syndrome at last: the glymphatic reflux theory.

J Neurol 2022 Mar 25;269(3):1264-1271. Epub 2021 Jun 25.

Department of Neurosurgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK.

Terson Syndrome (TS) describes the presence of intraocular hemorrhage in patients with intracranial hemorrhage, typically subarachnoid hemorrhage. Despite TS being a well-defined and frequently occurring phenomenon, its pathophysiology remains controversial. This review will present the current understanding of TS, with view to describing a contemporary and more plausible pathomechanism of TS, given recent advances in ophthalmic science and neurobiology. Read More

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Macular hole with inner limiting membrane peeling off spontaneously in Terson syndrome: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e25960

Eye Center of the second hospital, Jilin University, ChangChun, Jilin Province, China.

Introduction: Terson's syndrome with inner limiting membrane (ILM) peeled off spontaneously is rarely seen, and the mechanism of it is not clear. Here we report a case of Terson Syndrome with a rare finding: the ILM peeled off spontaneously associated with macular hole (MH).

Patient Concerns: A 36-year-old female patient was admitted to our hospital with decreased visual acuity in the right eye lasting for 1 month. Read More

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Vital dyes in macular hole surgery.

Exp Ther Med 2021 May 22;21(5):527. Epub 2021 Mar 22.

Department of Ophthalmology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.

Currently, surgical techniques, such as internal limiting membrane peeling, are used widely for macular holes, macular puckers, epiretinal membranes, diabetic macular edema, retinal detachment, retinal vein occlusions, vitreomacular traction, optic pit maculopathy, and Terson syndrome. This study aimed to highlight any differences regarding visual acuity and ocular tomography coherence changes after staining the internal limiting membrane with dilutions of Brilliant Blue G vs. lutein/zeaxanthin-based dyes. Read More

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Pseudotumor cerebri syndrome causing a terson like syndrome.

Am J Ophthalmol Case Rep 2020 Dec 24;20:100993. Epub 2020 Nov 24.

New York Eye and Ear Infirmary of Mount Sinai, 310 E 14th Street, New York, NY, 10003, United States.

Purpose: Terson syndrome presents with retinal and vitreous hemorrhages in patients with a subarachnoid hemorrhage or after acutely elevated intracranial pressure. The source of this hemorrhage has been debated and may originate either from direct extension of intracranial hemorrhage or more likely from the peripapillary retinal vessels.

Observations: A 39-year-old woman presenting with nausea, vomiting, floaters and papilledema with normal neuroimaging was diagnosed ultimately with pseudotumor cerebri syndrome. Read More

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December 2020

[Terson syndrome after blood patch: Case report].

J Fr Ophtalmol 2021 Jan 18;44(1):e13-e14. Epub 2020 Nov 18.

Service d'ophtalmologie, CHU de Clermont-Ferrand, hôpital Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand cedex 1, France.

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January 2021

Subarachnoid hemorrhage-negative Terson syndrome after intracranial artery treatment with a flow diverter device.

Am J Ophthalmol Case Rep 2020 Dec 24;20:100978. Epub 2020 Oct 24.

National Hospital Organization Osaka National Hospital, Osaka, Japan.

Purpose: To report a case of subarachnoid hemorrhage-negative Terson syndrome following intracranial artery treatment with flow diverter stents.

Observations: A 40-year-old Asian woman presented with floaters in her right eye after treatment of an intracranial aneurysm with flow diverter stents. Vitreous hemorrhage and sub-inner limiting membrane (sub-ILM) hemorrhage were present in her right eye. Read More

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December 2020

Terson syndrome caused by intraventricular hemorrhage associated with arteriovenous malformation: Case report.

Neurochirurgie 2021 Sep 2;67(5):526-528. Epub 2020 Nov 2.

Department of Neurosurgery, FLENI, Montañeses 2325, CP1428 Buenos Aires, Argentina.

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September 2021

Unilateral Terson-Like Syndrome in a Patient With a Perinatal Ischemic Stroke.

Ophthalmic Surg Lasers Imaging Retina 2020 Oct;51(10):592-595

Terson syndrome typically presents with bilateral hemorrhagic retinopathy associated with acute intracranial bleeding. The authors present a case of neonatal hemispheric ischemic stroke with vasogenic edema and increased intracranial pressure creating a unilateral Terson-like syndrome. Magnetic resonance imaging indicated congenital occlusion of the left internal carotid artery, among other vascular abnormalities. Read More

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October 2020

Photoreceptor damage following long-standing premacular hemorrhage in Terson syndrome.

Indian J Ophthalmol 2020 Oct;68(10):2267

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

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October 2020

Ocular Fundus Abnormalities in Acute Subarachnoid Hemorrhage: The FOTO-ICU Study.

Neurosurgery 2021 01;88(2):278-284

Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia.

Background: Ocular fundus abnormalities, especially intraocular hemorrhage, may represent a clinically useful prognostic marker in patients with acute subarachnoid hemorrhage (SAH).

Objective: To evaluate associations between ocular fundus abnormalities and clinical outcomes in acute SAH.

Methods: Prospective evaluation of acute SAH patients with ocular fundus photography at bedside. Read More

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January 2021

Limited Vitrectomy versus Observation for Bilateral Terson Syndrome in a Child.

Ophthalmol Retina 2021 03 10;5(3):312-314. Epub 2020 Sep 10.

Magrabi Eye Hospital, Tanta, Egypt; Department of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt.

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Ultrasound diagnosis of Terson syndrome as an indicator of extreme severity in neurocritical care patients.

Neurologia (Engl Ed) 2020 Sep 7. Epub 2020 Sep 7.

Servicio de Medicina Intensiva. Hospital Universitario La Paz, Madrid, España.

Introduction: Terson syndrome (TS) is defined as any intraocular haemorrhage identified in patients with acute intracranial pathology. TS appears to be associated with clinical severity in patients with subarachnoid haemorrhage (SAH), but the association is yet to be defined in patients with traumatic brain injury (TBI) and intracerebral haemorrhage (ICH). This study aimed to evaluate the diagnostic performance of ocular ultrasound (OU) and its usefulness in clinical practice. Read More

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September 2020

Vitelliform Vitreoretinopathy: Clinical Implications of the Vitreomacular Interface.

Oman J Ophthalmol 2020 May-Aug;13(2):100-101. Epub 2020 May 28.

Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, CA, USA.

Pathologies of the vitreomacular interface are implicated in a variety of sight-threatening clinical entities. The authors present a photo essay of a case of Terson syndrome with a striking premacular dehemoglobinized hemorrhage with ovoid morphology. This unique "vitelliform" finding highlights the distinct structure of the premacular vitreous space and its important implications in both health and disease. Read More

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Clinical observations and considerations in the treatment of Terson syndrome using 23G vitrectomy.

Int Ophthalmol 2020 Sep 7;40(9):2185-2190. Epub 2020 May 7.

Department of Ophthalmology, Qilu Hospital of Shandong University, Wenhua Xi Road107, Jinan, 250012, Shandong, People's Republic of China.

Purpose: This retrospective study analyzed the results of 23G vitrectomy for the treatment of intraocular hemorrhage in patients with Terson syndrome. The pathogenesis of Terson syndrome and the timing of vitrectomy are discussed.

Methods: Eight eyes of eight patients were included in the study. Read More

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September 2020

Clinical Applications of Ultrasonography in Neurocritically Ill Patients.

J Intensive Care Med 2021 Jun 10;36(6):627-634. Epub 2020 Mar 10.

Department of Anaesthesiology, 28006Universidad del Valle, Cali, Colombia.

Ultrasonography is part of the multimodal monitoring of the neurocritical patient. Through transcranial color Doppler ultrasound, carotid-color Doppler ultrasound, and ocular ultrasound it is possible to diagnose and monitor a multitude of pathological conditions, such as cerebrovascular events, vasospasm, Terson syndrome, carotid atheromatosis, and brain death. Furthermore, these techniques enable the monitoring of the intracranial pressure, the cerebral perfusion pressure, and the midline deviation, which allows us to understand the patient's neurocritical pathology at their bedside, in a noninvasive way. Read More

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Ocular ultrasonography in patients with subarachnoid hemorrhage and Terson syndrome.

Can J Anaesth 2020 08 9;67(8):1072-1073. Epub 2020 Mar 9.

Department of Medicine, Surgery, and Dentistry, Scuola Medica Salernitana, University of Salerno, Salerno, Italy.

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In reply: Ocular ultrasonography in patients with subarachnoid hemorrhage and Terson syndrome.

Can J Anaesth 2020 08 9;67(8):1074-1075. Epub 2020 Mar 9.

Department of Anesthesiology and Division of Critical Care, Institut Universitaire de Cardiologie et de Pneumologie, Quebec, QC, Canada.

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Clinical characteristics of asymptomatic Terson syndrome in the patients with aneurysmal subarachnoid hemorrhage.

Int J Ophthalmol 2020 18;13(2):292-300. Epub 2020 Feb 18.

Department of Ophthalmology, Choikang Eye Clinic, Seoul 01110, Republic of Korea.

Aim: To investigate clinical characteristics of asymptomatic Terson syndrome and its clinical impact in patients with aneurysmal subarachnoid hemorrhage (SAH).

Methods: This retrospective, interventional study included 31 patients with aneurysmal SAH, and the medical records were reviewed. In addition to baseline characteristics of the study population such as age, sex, and underlying medical history, multi-modal imaging analysis, including fluorescein angiography (FA), spectral domain optical coherence tomography (SD-OCT), were also reviewed. Read More

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February 2020

Microsurgical observation of the posterior vitreous in patients with vitreous hemorrhage caused by Terson syndrome.

Am J Ophthalmol Case Rep 2020 Mar 4;17:100613. Epub 2020 Feb 4.

Department of Neurosurgery, Nakamura Memorial Hospital, S-1, W-14, Chuo-ku, Sapporo, Japan.

Purpose: To describe features characteristic of vitreous hemorrhage in patients with Terson syndrome observed through a microsurgical scope.

Methods: Between May 2015 and February 2019, 12 eyes of 10 patients with vitreous hemorrhage occurring after subarachnoid hemorrhage (SAH) underwent pars plana vitrectomy.

Results: During vitreous surgery, we found 10 of 12 eyes did not have posterior vitreous detachment (PVD). Read More

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