AI Article Synopsis
- Terson syndrome involves intraocular bleeding linked to subarachnoid hemorrhage (SAH) and can result in vision loss, a significant concern for affected individuals.
- A rare case in a 9-year-old boy highlighted the occurrence of Terson syndrome following aneurysmal SAH due to a ruptured brain artery, emphasizing the importance of timely treatment.
- The situation underscores the need for immediate eye evaluations in children with aneurysmal SAH to help manage this complication and reduce long-term effects.
Article Abstract
Background: Terson syndrome is the phenomenon of intraocular hemorrhage in the setting of subarachnoid hemorrhage (SAH). Vision loss can lead to morbidity for the affected individual. Aneurysmal SAH related to intracranial aneurysms is rare in children. Studies have shown the incidence of Terson syndrome in adults with aneurysmal SAH to be over 40%; however, few cases of Terson syndrome in pediatric aneurysmal SAH have been reported.
Observations: A 9-year-old male presented with altered mental status and seizures. Computed tomographic angiography showed aneurysmal SAH from a ruptured, left-sided posterior inferior cerebellar artery aneurysm. The patient underwent endovascular treatment with coiling and external ventricular drainage for SAH. Ophthalmological consultation for blurry vision revealed the diagnosis of Terson syndrome with decreased vision in the left eye, which was managed conservatively.
Lessons: Terson syndrome after SAH can occur in children. Prompt ophthalmological evaluation in pediatric patients with aneurysmal SAH is vital for recognition and management to decrease overall morbidity.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550527 | PMC |
| http://dx.doi.org/10.3171/CASE2390 | DOI Listing |
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