333 results match your criteria: "Terson Syndrome"

Background/objectives: Terson Syndrome (TS) is a rare entity consisting of an intraocular hemorrhage secondary to subarachnoid hemorrhage (SAH) or intracerebral hemorrhage (IH). This study aimed to retrospectively describe the experience of the Ophthalmology Unit of Policlinico Gemelli, Rome, in the management of TS.

Methods: Twenty-four eyes of 19 patients (10 males-53%; 9 females-47%; mean age of 44.

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We report an unusual case of pupil-involving third nerve palsy associated with Terson's syndrome that resulted in the diagnosis of a right posterior communicating artery aneurysm. Interestingly, Terson's syndrome presented with Roth spot-resembling features, accompanied by third nerve palsy in a patient without any disturbance of consciousness. To our knowledge, the association of Terson's syndrome with third nerve palsy has not been described before in the absence of radiologically diagnosed subarachnoid haemorrhage.

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Article Synopsis
  • - Terson syndrome (TS) is an eye condition linked to subarachnoid hemorrhage (SAH) that causes bleeding in the eye, leading to visual impairment, and can affect one or both eyes unevenly.
  • - A 52-year-old woman experienced TS after a right middle cerebral artery aneurysm rupture during sex, but surprisingly, she reported significant visual issues in her left eye while the right eye showed more damage.
  • - TS usually causes symptoms in both eyes, but in this case, the symptoms were predominantly found in the eye opposite to the affected hemisphere, making it an unusual presentation.
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Article Synopsis
  • Terson syndrome is marked by intraocular hemorrhage related to brain injuries, with a notable incidence of 10-40% following sub-arachnoid hemorrhage.
  • A case study of a 48-year-old woman with sub-arachnoid hemorrhage showed significant visual impairment due to vitreous hemorrhage, which improved after treating an aneurysm in a major artery.
  • Timely ophthalmic evaluations are crucial for diagnosing Terson syndrome in patients with sub-arachnoid hemorrhage, as early intervention can help prevent permanent visual loss.
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Article Synopsis
  • Terson's syndrome (TS) is an eye condition linked to subarachnoid hemorrhage (SAH) that can cause vision problems, but its details are not well understood.
  • A 52-year-old man who had a severe headache and SAH developed TS three weeks later, resulting in blurred vision, and required successful surgical treatment.
  • This case highlights the need for increased awareness among medical professionals about TS as a potential complication of SAH, emphasizing the importance of early diagnosis and treatment for better outcomes.
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Article Synopsis
  • This study reviews the visual outcomes and factors affecting patients with Terson syndrome (TS) treated either with observation or surgery (pars plana vitrectomy, PPV).
  • Out of 117 eyes from 81 patients, the group that underwent surgery had worse initial visual acuity but showed similar final visual outcomes compared to the conservative management group.
  • The results indicate that while surgery can lead to quicker visual recovery, it poses a risk of intraoperative retinal tears if surgery is delayed beyond three months, and complications like epiretinal membrane (ERM) and retinal detachment are not linked to the management approach or timing.
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Terson Syndrome Diagnosed by Ocular Point of Care Ultrasound on the Medical Floor.

POCUS J

April 2024

Department of Long-Term Unscheduled Care, Harrogate and District Foundation Trust Harrogate, Yorkshire UK.

Article Synopsis
  • Accurately assessing ocular complications in acute care for intracranial issues can be difficult, yet these complications often lead to significant health problems.
  • A case report details a 63-year-old man with monocular diplopia due to subacute traumatic brain injury and localized subarachnoid hemorrhage, where ocular point of care ultrasound (POCUS) identified vitreous hemorrhage.
  • The diagnosis of Terson syndrome, linked to poor outcomes, was made when ophthalmoscopy was not feasible, demonstrating how POCUS can be a valuable tool in acute settings for evaluating eye complications.
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Article Synopsis
  • A 33-year-old man developed bilateral Terson syndrome after a traffic accident, presenting with a unique mushroom-like mass on the optic disc along with proliferative vitreoretinopathy and retinal detachment.
  • After undergoing vitrectomy, a pigmented mass and extensive epiretinal membrane were identified, indicating severe complications from the injury.
  • Although the patient experienced improved vision in one eye, the other eye faced complications, highlighting the need for careful monitoring and early treatment for Terson syndrome cases.
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Article Synopsis
  • The text discusses a rare complication, Terson's syndrome, that occurred after the endoscopic removal of a colloid cyst, which has been documented only twice previously.
  • It suggests that this syndrome may be linked to intracranial hypertension caused by rinsing during the surgical procedure.
  • The case is presented alongside a review of complications associated with neuroendoscopic removal of colloid cysts, referencing past literature.
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Delayed macular hole secondary to Terson syndrome: a case report and literature review.

J Int Med Res

March 2024

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China.

Article Synopsis
  • * A 17-year-old patient experienced vitreous bleeding after subarachnoid hemorrhage; surgery revealed significant hemorrhages and a delayed MH developed a week later.
  • * The study indicates that pressures from the hemorrhages can lead to MH formation, and suggests early surgical intervention to prevent potential retinal damage if the MH doesn't close on its own.
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  • * The patient experienced spontaneous subarachnoid hemorrhage, causing vitreous hemorrhage, with uncorrected visual acuity measuring very low (0.01 in the right eye and 0.005 in the left).
  • * After performing vitrectomy on both eyes, the patient's visual acuity improved to 0.05, enhancing his visual functions and overall quality of life.
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Article Synopsis
  • * The case study highlights a 36-year-old woman who suddenly lost vision in both eyes and became unconscious; CT scans revealed severe intracerebral hemorrhage and bilateral retinal hemorrhages related to increased intracranial pressure.
  • * The case underscores the need for radiologists to thoroughly check for retinal hemorrhage during imaging in severe intracranial hemorrhages, as this can significantly affect clinical outcomes and inform necessary treatments.
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Background: We report the case of bilateral, subinternal limiting membrane crystalline deposits in a patient with Terson syndrome, describe the possible pathogenesis, and highlight management. . A 24-year-old male with a history of traumatic massive parenchymal and subdural frontal hemorrhage presented to our clinic seven months after a motor vehicle accident, prolonged hospitalization, and rehabilitation, complaining of decreased vision in both eyes.

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Unilateral branch retinal vein occlusion with vitreous hemorrhage mimicking Terson's syndrome.

Oman J Ophthalmol

October 2023

Department of Ophthalmology, Institute of Medical Sciences and SUM Hospital, Siksha O Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.

We report a case of unilateral traumatic vitreous hemorrhage following injury to the anterior cranium. A 55-year-old female presented with gradual loss of vision in her left eye following trauma to the anterior cranium. Funduscopy revealed fresh vitreous hemorrhage.

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Terson Syndrome: Not to Be Missed in Patients with Disorders of Consciousness.

Brain Sci

May 2023

Unit of Acute Neurorehabilitation, Department of Clinical Neurosciences, Service of Neurology, Lausanne University Hospital (CHUV), University of Lausanne, 1011 Lausanne, Switzerland.

Article Synopsis
  • * Terson syndrome occurs in 8-19.3% of SAH patients and can lead to significant visual impairment, affecting their ability to interact with their environment.
  • * It's crucial to conduct early eye exams in patients with SAH who exhibit altered consciousness or visual issues to properly recognize potential CMD.
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Terson syndrome secondary to aneurysmal subarachnoid hemorrhage in a child: illustrative case.

J Neurosurg Case Lessons

June 2023

1Division of Pediatric Neurosurgery, Department of Neurosurgery, Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

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.

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Purpose: To describe photoreceptor damage in patients with Terson syndrome as a potential cause for inconsistent clinical outcomes.

Methods: Clinical evaluation and retinal imaging in six patients.

Results: Four patients were women and two men, with an average age of 46.

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Acute bilateral vision loss (ABVL) is a rare and challenging diagnostic issue that is most often caused by a neurological disorder. Since it can be the presenting symptom of potentially life-threatening diseases, priority should be given to excluding such diagnoses. Special caution is required if ABVL symptoms result after an intracranial intervention.

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Background: Terson syndrome (TS), an intraocular hemorrhage associated with aneurysmal subarachnoid hemorrhage (aSAH), occurs in up to 46% of all patients with subarachnoid hemorrhage. Despite its high incidence, TS is underrepresented in the literature, and patients with aSAH are sometimes not systematically evaluated for the presence of TS in clinical practice. This work aims to raise awareness of TS, reevaluate previous scientific findings, describe risk factors associated with the occurrence of TS, and present our local diagnostic and treatment concept.

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Article Synopsis
  • Subependymal giant cell astrocytoma (SEGA) is the most common intracranial tumor linked to tuberous sclerosis, often leading to hydrocephalus and increased intracranial pressure as it grows.
  • A case study is presented of a 27-year-old male with TS who experienced severe hemorrhagic complications from SEGA, prompting a systematic review of similar cases in scientific literature.
  • The review found 14 cases of SEGA-related hemorrhage, showing a prevalence of headaches and good clinical outcomes in most patients, though 20% of cases resulted in death, and complete tumor resection was achieved in about half of the patients.
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