122 results match your criteria Terson Syndrome
Ophthalmic Surg Lasers Imaging Retina 2018 Oct;49(10):e154-e156
A term healthy infant was noted to have cephalohematoma following normal spontaneous vaginal delivery (NSVD). At 9 days of age, the attending team performed wide-angle remote digital fundus imaging and the left eye was noted to have scattered multi-laminar hemorrhages. Magnetic resonance imaging was performed which revealed occipital infarct and subarachnoid hemorrhage. Read More
Rev Neurol 2018 Jul;67(2):71-72
Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Espana.
World Neurosurg 2018 Aug 29;116:e505-e512. Epub 2018 May 29.
Department of Neurosurgery, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Objective: Although ruptured vertebral artery dissecting aneurysms (VADAs) are often associated with ocular symptoms, such as abducent nerve palsy and Terson syndrome (TS), their frequency and risk factors in comparison with those associated with ruptured aneurysms in other locations have not been reported.
Methods: Three hundred forty-three patients with nontraumatic subarachnoid hemorrhage were treated in our hospital from April 2002 to May 2016, among which 35 (10.2%) had VADA as the origin of hemorrhage. Read More
BMJ Case Rep 2018 Apr 10;2018. Epub 2018 Apr 10.
Department of Medicine, Hospital Beatriz Angelo, Loures, Portugal.
A 47-year-old Caucasian man with arterial hypertension was admitted after a seizure. At the emergency department, he presented with high blood pressure, bilateral vision loss (evidenced by unresponsiveness to threatening stimuli), right hemiplegia and severe agitation. The brain CT angiography showed a diffuse basal cisterns subarachnoid haemorrhage with a ruptured basilar aneurysm. Read More
West Afr J Med 2018 Jan-Apr;35(1):41-43
Departments of Ophthalmology, School of Medicine, University of Benin, Benin City, Nigeria.
Background: The authors report a case of Terson syndrome in an adult with immune thrombocytopenia. Terson syndrome refers to an intraocular hemorrhage secondary to an intracranial hemorrhage or an acute rise in intracranial pressure. It is a rare but life-threatening complication and may be complicated with blindness in those who survive. Read More
Int Ophthalmol 2018 Jan 17. Epub 2018 Jan 17.
Department of Ophthalmology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Purpose: To report a case of bilateral Terson Syndrome with sub inner limiting membrane hemorrhage associated with a rare finding: perimacular fold.
Methods: The patient, a 34 years old female with aneurysmal subarachnoid hemorrhage and bilateral Terson syndrome was admitted to the Ophthalmology department, complaining of blurred vision. Core vitrectomy, hyaloid detachment, peeling of the ILM and aspiration of the sub inner limiting membrane hemorrhage was performed. Read More
Graefes Arch Clin Exp Ophthalmol 2018 Mar 29;256(3):503-510. Epub 2017 Dec 29.
Istanbul Retina Institute, Hakkı Yeten Cad. Unimed Center No: 19/7 Fulya - Şişli, 34349, Istanbul, Turkey.
Purpose: Our purpose was to assess anatomical and functional outcomes of vitrectomy in pediatric cases of Terson syndrome.
Methods: A total of 11 eyes of seven children diagnosed with Terson syndrome secondary to traumatic brain injury and 17 eyes of 12 children diagnosed with Terson syndrome secondary to nontraumatic brain hemorrhage who had 20-gauge or 23-gauge pars plana or pars plicata vitrectomy were included in this retrospective study. The primary outcome was the change in visual acuity from the preoperative examination to postoperative final follow-up. Read More
J Pediatr Hematol Oncol 2018 Mar;40(2):141-142
Departments of Pediatric Hematology-Oncology.
A previously healthy 2-year-old female infant presented with pancytopenia and was diagnosed with acute lymphoblastic leukemia. Before the initiation of treatment, she developed symptoms concerning for increased intracranial pressure. Head imaging revealed left parietal hemorrhage, in addition to a right vitreous hemorrhage, which was confirmed on ophthalmology examination later. Read More
Ophthalmic Surg Lasers Imaging Retina 2017 09;48(9):764-767
Terson syndrome is defined as the incidence of intraocular hemorrhage in patients following a subarachnoid or intracranial bleed. A 38-year-old female with both intraretinal and subretinal hemorrhages secondary to Terson syndrome underwent repair of a ruptured cerebral aneurysm. One month following resolution of the macular hemorrhages, a paracentral scotoma persisted. Read More
Exp Ther Med 2017 Aug 13;14(2):1193-1197. Epub 2017 Jun 13.
Department of Ophthalmology, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P.R. China.
The aim of the present study was to compare the effectiveness of 25G vitrectomy to standard 20G vitrectomy for treatment of Terson syndrome under Resight non-contact wide-angle lenses. This was a case-control study of 20 patients with Terson syndrome (study group) that underwent 25G vitrectomy under Resight non-contact wide-angle lenses, with those of 20 matched patients that underwent 20G vitrectomy (control group). Medical records were reviewed from between July 2011 and October 2013. Read More
Turk J Ophthalmol 2017 Jun 1;47(3):184-185. Epub 2017 Jun 1.
ICARE Eye Hospital and Postgraduate Institute, Ophthalmology Clinic, Uttar Pradesh, India.
J Emerg Med 2017 Sep 7;53(3):e45-e46. Epub 2017 Jun 7.
Department of Neuroradiology, John Radcliffe Hospital, Oxford University Hospitals, Oxford, UK.
GMS Ophthalmol Cases 2017 19;7:Doc12. Epub 2017 May 19.
Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, India.
To report a rare occurrence combination of central retinal artery occlusion (CRAO) and Terson syndrome in a Barrow's type A carotid cavernous fistula (CCF) patient. Observational case report. A twenty-year-old male patient with a history of road traffic accident presented with periorbital swelling and redness in the left eye. Read More
Neurohospitalist 2017 Apr 22;7(2):100-101. Epub 2016 Jun 22.
Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ophthalmology 2017 01 3;124(1):118-122. Epub 2016 Nov 3.
Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri. Electronic address:
Purpose: To evaluate visual outcomes after vitrectomy for intraocular hemorrhages secondary to traumatic brain injury.
Design: Retrospective, observational case series.
Participants: A total of 28 eyes in 20 patients undergoing vitrectomy for Terson syndrome secondary to traumatic brain injury between 1997 and 2015. Read More
Retin Cases Brief Rep 2018 Summer;12(3):216-218
Luton and Dunstable University Hospital, Luton, United Kingdom.
Purpose: To report a case of bilateral intraocular hemorrhage secondary to cerebral venous sinus thrombosis with no associated intracranial hemorrhage.
Methods: Case report.
Results: A 32-year-old Asian gentleman presented with left reduced vision as a result of a left subhyaloid macular hemorrhage associated with severe headache. Read More
Case Rep Ophthalmol Med 2016 22;2016:4942109. Epub 2016 Sep 22.
Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran; Noor Ophthalmic Research Center, Noor Eye Hospital, Tehran, Iran.
. Terson syndrome is described as intraocular hemorrhage in association with any type of intracranial hemorrhage and is associated with higher mortality rate and vision loss. Intraocular hemorrhage in Terson syndrome may be diagnosed using computed tomography but there are false positive results. Read More
Neurology 2016 09;87(13):e133-4
From the Nuffield Department of Clinical Neurosciences (J.S.G.); and Department of Ophthalmology (J.S.E.), Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK. Dr. George is currently affiliated with the Department of Neurology, University Hospitals Leicester NHS Trust, Leicester, UK. Dr. Elston is currently affiliated with the Birmingham Children's Hospital, Birmingham, UK.
J Fr Ophtalmol 2016 Oct;39(8):e213-e216
Service d'exploration de la vision et neuro-ophtalmologie, pôle d'imagerie et explorations fonctionnelles, CHRU de Lille, hôpital Roger-Salengro, rue Émile-Laine, 59037 Lille, France.
J Clin Neurosci 2016 Nov 21;33:182-186. Epub 2016 Jul 21.
Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg 20246, Germany.
Terson syndrome (TS) is a common and underestimated concomitant disease in patients suffering from subarachnoid hemorrhage (SAH). Aim of this study was to evaluate the influence of an initial unconsciousness and raised intracranial pressure (ICP) on the development of TS. We performed a retrospective analysis of 213 prospective collected SAH patients screened for TS to investigate the impact of an initial unconsciousness and raised ICP on the development of TS. Read More
Ophthalmology 2016 05;123(5):1035
Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Acta Neurochir (Wien) 2016 06 1;158(6):1027-36. Epub 2016 Apr 1.
Department of Neurosurgery, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007, St. Gallen, Switzerland.
Background: A large number of reports have not been able to clarify the pathophysiology of Terson syndrome (TS) in aneurysmal subarachnoid hemorrhage (aSAH).
Methods: Prospective single-center study on aSAH patients. Fundoscopic and radiological signs of TS were assessed. Read More
J Fr Ophtalmol 2016 Feb 27;39(2):219-25. Epub 2016 Jan 27.
Département d'ophtalmologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France.
Spontaneous vitreous hemorrhage is a serious disease whose incidence is 7 per 100,000 people per year. Posterior vitreous detachment with or without retinal tear, diabetic retinopathy, vascular proliferation after retinal vein occlusion, age-related macular degeneration and Terson's syndrome are the most common causes. Repeated ultrasonography may ignore a retinal tear or detachment and delay vitrectomy that is the only treatment for serious forms. Read More
Reg Anesth Pain Med 2016 Mar-Apr;41(2):164-8
From the Departments of *Neurology, †Neuro-Ophthalmology, and ‡Anesthesiology, Mayo Clinic, Rochester, MN.
Background And Objectives: Lumbar epidural blood patch (EBP) is a commonly used procedure to treat postdural puncture headache. We present a case of vision loss immediately following an EBP.
Case Report: A 49-year-old woman with idiopathic intracranial hypertension received an EBP for postdural puncture headache at an outside facility without fluoroscopic guidance and in the seated position. Read More
Ophthalmologe 2016 Aug;113(8):694-8
Klinik für Kinder und Jugendliche, Helios Dr. Horst-Schmidt-Kliniken, Wiesbaden, Deutschland.
This report describes the case of a 10-month-old infant, who was delivered to our hospital by the emergency physician intubated and in an unclear unconscious state. The father reported that the child had fallen from the couch to the ground. The consulted ophthalmologist reported venous stasis in both eyes including intraretinal and preretinal bleeding in all four quadrants, a diffuse vitreous hemorrhage in the right eye and temporal retinal wrinkling in both eyes. Read More
Ann Rehabil Med 2015 Aug 25;39(4):640-4. Epub 2015 Aug 25.
Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Terson syndrome refers to oculocerebral syndrome of retinal and vitreous hemorrhage associated with spontaneous subarachnoid hemorrhage or all forms of intracranial bleeding. Recent observations have indicated that patients with spontaneous subarachnoid hemorrhage have an 18% to 20% concurrent incidence of retinal and vitreous hemorrhages with about 4% incidence of vitreous hemorrhage alone. Clinical ophthalmologic findings may have significant diagnostic and prognostic value for clinicians. Read More
J Neuroimaging 2016 Mar-Apr;26(2):247-52. Epub 2015 Aug 6.
Department of Neurology, University Medical Center Freiburg, Freiburg, Germany.
Background And Purpose: To assess the accuracy of ocular B-mode sonography and of standard head computed tomography (CT) as screening tools for intraocular hemorrhages related to subarachnoid hemorrhage (SAH).
Methods: 46 patients with spontaneous SAH were examined using ocular B-mode sonography and underwent funduscopy as gold standard for detection of ocular hemorrhages (OH). Additionally, all head CT scans done during the hospital stay of the study population were rated by a neuroradiologist for the presence of OH. Read More
Pediatr Neurol 2015 Jun 13;52(6):653-4. Epub 2015 Mar 13.
University of Pennsylvania, Scheie Eye Institute, Philadelphia, Pennsylvania.
World Neurosurg 2015 Sep 7;84(3):865.e7-11. Epub 2015 Apr 7.
Department of Neurosurgery, Loghman e Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: We report the efficacy and safety of surgical treatment with the orbitozygomatic transsylvian approach and the rarity of accompanying subarachnoid hemorrhage, Terson syndrome, and ruptured giant basilar tip aneurysm in a patient affected by moyamoya disease with a good outcome.
Methods: A 40-year-old man with a history of exertional headache from childhood and hypertension diagnosed 5 years previously was referred to us with the presenting symptom of headache. After 1 day, he developed left hemiplegia, decreased level of consciousness, and blindness in the left eye. Read More
Arch Soc Esp Oftalmol 2015 Jan 15;90(1):26-9. Epub 2014 Nov 15.
Unidad de Gestión Clínica de Oftalmología, Hospital Universitario Virgen del Rocío, Sevilla, España.
Case Report: The case is presented on a 63-year-old patient with Terson's syndrome who complained of loss of visual acuity. The optical coherence tomography showed macular atrophy.
Discussion: The patient developed macular atrophy probably secondary to macular hemorrhage caused by the rupture of a cerebral aneurysm. Read More
Can J Neurol Sci 2014 Sep;41(5):572-6
5Division of Ophthalmology,McMaster University,Hamilton,Ontario,Canada.
Objective: Evaluate the incidence, neurologic morbidity, and mortality of patients with Terson syndrome.
Methods: Consecutive patients admitted to the Hamilton General Hospital from May 2012 to May 2013 with a diagnosis of spontaneous subarachnoid hemorrhage (SAH) were recruited. Funduscopic examinations were performed under pharmacological mydriasis. Read More
Retin Cases Brief Rep 2014 ;8(3):171-4
*Department of Neurological Surgery, Neurological Institute of New Jersey, New Jersey Medical School, Rutgers University, Newark, New Jersey; and †Institute of Ophthalmology and Visual Science, New Jersey Medical School, Rutgers University, Newark, New Jersey.
Purpose: To report subarachnoid hemorrhage-negative Terson syndrome after coil embolization of an unruptured intracranial aneurysm in a patient with underlying antiphospholipid syndrome.
Methods: Retrospective case report. A 48-year-old woman with underlying antiphospholipid syndrome. Read More
JAMA Ophthalmol 2014 Nov;132(11):1295
Case Rep Ophthalmol Med 2014 14;2014:689793. Epub 2014 Aug 14.
Department of Ophthalmology, San Raffaele Scientific Institute, Vita-Salute University, Via Olgettina 60, 20132 Milan, Italy.
We report a case of Terson syndrome, providing the first intrasurgical imaging of subinternal limiting membrane blood diffusion in Terson syndrome. We highlight some remarkable in vivo anatomical findings that may give a contribution to the debate about its pathogenesis. Here we hypothesize that the subretinal space might be unlikely to be a primary source of intraocular hemorrhage, and we support the two generally accepted theories about blood diffusion from the retinal vasculature or from the perivascular spaces. Read More
Neurosurg Rev 2015 Jan 31;38(1):129-36; discussion 136. Epub 2014 Aug 31.
Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany,
This prospective trial was designed to evaluate the incidence of Terson syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson syndrome. Read More
Klin Oczna 2014 ;116(1):59-63
Tersone syndrome was first described in 1900 as haemorrhages in the eye that occur as a consequence of intracranial hemorrhage. The main cause of the syndrome in adults is a subarachnoid hemorrhage following the rupture of intracranial aneurysm. The pathogenesis has not been fully understood. Read More
Neuroophthalmology 2014 18;38(4):199-204. Epub 2014 Jun 18.
Department of Ophthalmology.
The aim of this study was to identify factors predisposing for early intraocular complications of aneurysmal subarachnoid haemorrhage (SAH). The authors analysed 96 selected cases of aneurysmal SAH. Forty patients (42%) demonstrated abnormal fundus findings, including disc swelling (13. Read More
Clin Ophthalmol 2014 3;8:681-3. Epub 2014 Apr 3.
Ophthalmic Section, Department of Clinical Pathophysiology, University of Turin, Turin, Italy.
Background: Terson syndrome is defined as intraocular hemorrhage associated with intracranial bleeding. This syndrome can occur in the event of intracranial hemorrhage or elevated intracranial pressure. To our knowledge, it has never been associated with chronic myeloid leukemia. Read More
Exp Ther Med 2014 Jan 11;7(1):251-253. Epub 2013 Nov 11.
Department of Neurosurgery, Tangshan Gongren Hospital, Tangshan, Hebei 063000, P.R. China.
The present study reports the case of a 33-year-old male who presented with Terson syndrome with no cerebral hemorrhage secondary to traumatic brain injury (TBI). A computed tomography scan of the patient, who had sustained an impact injury to the right occipital region, showed no cerebral lesion. Ophthalmoscopy clearly demonstrated vitreous hemorrhage in both eye globes. Read More
Emerg Radiol 2014 Apr 31;21(2):215-8. Epub 2013 Oct 31.
Department of Emergency Radiology, Henry Ford Hospital, Detroit, MI, USA,
Terson syndrome, the presence of intraocular hemorrhage in the setting of acutely elevated intracranial pressure, was historically described in conjunction with acute subarachnoid hemorrhage; however, more recently, it has been associated with a gamut of intracranial pathophysiology ranging from blunt or penetrating injury to neurosurgical procedures. We describe two cases of profound intracranial injury, secondary to ballistic injury, and a ruptured intracranial aneurysm, in which posterior chamber ocular hemorrhage was noted on CT imaging. Though the outcome in such cases, as with ours, is often poor, the findings are germane to clinical care as the presence of Terson syndrome has been noted to be a negative prognostic factor in multiple clinical reviews. Read More
J Neuroradiol 2013 Oct 4;40(4):312-4. Epub 2013 Oct 4.
Department of Neurology, University of Virginia, Charlottesville, Virginia, United States.
World Neurosurg 2014 Jan 13;81(1):e4. Epub 2013 Aug 13.
Private practice, Chicago, Illinois, USA. Electronic address:
Neurology 2013 Aug;81(6):e40-1
Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Saudi J Anaesth 2013 Jan;7(1):93-5
Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Terson's syndrome may be challenging for the anesthesiologist in view of its multisystem involvement including neurological, cardiovascular, and ophthalmological involvement. We describe anesthetic management of a 55-year-old male having Terson's syndrome for pars plana viterctomy. Read More
Neurologia 2015 Mar 25;30(2):132-3. Epub 2013 Apr 25.
Servicio de Neurología, Hospital del Bierzo, Ponferrada, León, España.
Neurologia 2015 Mar 1;30(2):133-4. Epub 2013 Mar 1.
Servicio de Neurología, Complejo Hospitalario Universitario de Albacete, Albacete, España.
Arch Soc Esp Oftalmol 2014 Feb 25;89(2):62-5. Epub 2012 Sep 25.
Servicio de Oftalmología, Hospital del Bierzo, León, España.
Case Report: We present the case of a 48 year-old man who had a sudden onset of vomiting, headache and loss of consciousness. The visual acuity was severely reduced in the left eye, with a large subhyaloid haemorrhage being observed in the fundus.
Discussion: The combination of subarachnoid haemorrhage and a vitreous haemorrhage is called Terson syndrome. Read More
J Korean Neurosurg Soc 2012 Jun 30;51(6):367-9. Epub 2012 Jun 30.
Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.
Terson syndrome was originally used to describe a vitreous hemorrhage arising from aneurysmal subrarachnoid hemorrhage. Terson syndrome can be caused by intracranial hemorrhage, subdural or epidural hematoma and severe brain injury but is extremely rare in intraventricular hemorrhage associated with moyamoya disease. A 41-year-old man presented with left visual disturbance. Read More
Med J Aust 2012 Aug;197(3):152
Clin Neurol Neurosurg 2012 Jul 1;114(6):535-8. Epub 2012 Apr 1.
Department of Neurosurgery, University Hospital Bochum-Langendreer, In der Schornau 23-25, 44892 Bochum-Langendreer, Germany.
Objective: The concomitance of vitreous/subhyaloid haemorrhage (Terson syndrome; TS) and aneurysmal subarachnoid haemorrhage (aSAH) is commonly underestimated. The aim of this study was to determine the incidence of TS and to identify parameters that predispose its development, indicate the severity of the underlying disease, and predict outcome.
Methods: Sixty consecutive patients suffering from aSAH were included in this study. Read More