Papers relating to vitreous haemorrhage in patients with subarachnoid haemorrhage were retrieved. Its incidence is increased in patients with low gcs and high wfns scores, and high hunt and hess and. Comments are turned off autoplay when autoplay is enabled, a suggested video will automatically play next. Terson s syndrome occurs in up to 40% of acute aneurysmal bleeds.
Terracciano laurea in chimica e tecnologia farmaceutiche universita degli studi di napoli federico ii 102002102008 abilitazione. Tersons syndrome most often occurs in patients with severe neurological disease, a glasgow coma scale. The syndrome is a poor prognostic marker in patients with subarachnoid hemorrhage. Subarachnoid haemorrhage sah associated with vitreous haemorrhage was first described by french ophthalmologist albert terson in 1900. Purpose the tersons syndrome is characterized by the presence of vitreous hemorrhage in patients with sah caused by the rupture of. Sah generally occurs as a result of a ruptured cerebral aneurysm. Terson syndrome refers to vitreous hemorrhage associated with subarachnoid hemorrhage, however, some authors include retinal hemorrhage as well. Terson syndrome can present with domeshaped hemorrhages in the macula. Terson syndrome has been reported to occur in 50% of patients with subarachnoid hemorrhage clinical features. Conceito compreende uma rara e grave variante da preeclampsia, conforme descreve weinstein, em. In addition to clinical features of severe subarachnoid hemorrhage, such as headache and coma, patients present with varying degrees of vision loss 4 fundoscopic examination is diagnostic, with patients having evidence of vitreous hemorrhage and perhaps other. Visual outcomes after vitrectomy for terson syndrome secondary to. The patient had a clinical history of craniocerebral trauma and premacular hemorrhage of terson syndrome in the left eye. Franck sharko vol 01 le livros baixar livros em pdf, epub.
Terson syndrome and ocular ultrasound neurologia english. Sep 20, 2018 terson syndrome has been described most commonly in subarachnoid hemorrhages due to ruptured cerebral aneurysms. We have read with interest the article by sanchez ferreiro et al. Although early studies attempted to link this syndrome with aneurysms of the anterior communicating artery, statistical analysis has not correlated it with a specific aneurysmal location. A case of tersonlike syndrome in a patient with viral. Pdf we retrospectively evaluated the results of parsplana vitrectomy performed in 14 eyes nine patients with vitreous hemorrhage due to terson s. Pdf tersons syndrome associated with arnoldchiari i.
The sudden spike in intracranial pressure icp with aneurysmal rupture is thought to underlie the cause of ioh as well as the high incidence of coma, higher hunt and hess grades, and mortality in these patients. Pdf background terson syndrome is defined as intraocular. Terson hemorrhage constitutes a common sahassociated complication. Lemorragia del vitreo dellocchio puo verificarsi anche in associazione con emorragia intracranica e aumento della pressione intracranica 1. The proposed mechanism of tersons syndrome is increased intracranial pressure that leads to dilation of the retrobulbar optic nerve and. Terson syndrome or terson s syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. Ativador do plasminogenio tecidual e gas intravitreo no. A macular double ring sign may be seen with the inner ring caused subilm hemorrhage and the outer ring caused by subhyaloid hemorrhage although intraocular hemorrhages most frequently develop in the first hour after sah, terson syndrome can have a delayed onset, with reports of intraocular hemorrhage occurring. Fundal haemorrhages in ruptured intracranial aneur10. To analyze the incidence, clinical course, ophthalmic findings, and prognosis of the patients with intracranial bleeding and tersons syndrome. En realidad, pueden dar resultados falsos negativos o positivos.
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