Sindrome de terson pdf

Terson syndrome can present with domeshaped hemorrhages in the macula. Pdf we retrospectively evaluated the results of parsplana vitrectomy performed in 14 eyes nine patients with vitreous hemorrhage due to terson s. To analyze the incidence, clinical course, ophthalmic findings, and prognosis of the patients with intracranial bleeding and tersons syndrome. Terson s syndrome occurs in up to 40% of acute aneurysmal bleeds. Comments are turned off autoplay when autoplay is enabled, a suggested video will automatically play next.

Lemorragia del vitreo dellocchio puo verificarsi anche in associazione con emorragia intracranica e aumento della pressione intracranica 1. Intraocular hemorrhage can be a subretinal, retinal, preretinal, subhyaloidal, or intravitreal hemorrhage. Three prospective studies satisfied the inclusion criteria. Terson syndrome has been reported to occur in 50% of patients with subarachnoid hemorrhage clinical features. The diagnosis of terson syndrome is clinically important, as it is associated with significantly higher mortality 1. Terson syndrome has been described most commonly in subarachnoid hemorrhages due to ruptured cerebral aneurysms. Nov 11, 20 terson syndrome, which occurs in 1020% of patients with sah 5,6, may be caused by a severe cerebral hemorrhage induced by a head injury or by a subdural or epidural hematoma. 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. The only studies considered were those with at least 10 consecutive cases of subarachnoid haemorrhage with or without. Tersons syndrome occurs in up to 40% of acute aneurysmal bleeds. Retrospective case series with clinicopathologic correlation.

Subarachnoid haemorrhage sah associated with vitreous haemorrhage was first described by french ophthalmologist albert terson in 1900. A chinchurreta capote, pedro chinchurreta capote, p. Vitreous hemorrhage of the eye can also occur in association with intracranial hemorrhage and elevated intracranial pressure icp. Findings can be quite subtle and may vary between slight retinal thickening to nodularity or crescentshaped, increased density on the retinal. Originally described in 1900 by albert terson, the syndrome has an incidence of 2.

It corresponds to a subhyloid hemorrhage with involvement of the vitreous in the setting of acute aneurysmal subarachnoid hemorrhage. 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. Requiere tratamiento con trihexifenidilo, lorazepam, clonazepam, baclofeno o toxina botulinica. Terson syndrome or tersons syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. Terson syndrome was originally defined as a vitreous hemorrhage arising from an aneurysmal subarachnoid hemorrhage sah. En realidad, pueden dar resultados falsos negativos o positivos. Assessment of 53 subaracnoide hemorrage patients by aneurism rupture roney mendonca santos1 walter fagundes1 1multivix, vitoria, es, brazil arq bras neurocir address for correspondence roney mendonca santos, multivix, rua. Sep 20, 2018 terson syndrome has been described most commonly in subarachnoid hemorrhages due to ruptured cerebral aneurysms. 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. Tersonis syndrome and diffuse alveolar hemorrhage in. Fundal haemorrhages in ruptured intracranial aneur10.

There were more than twice as many women as men, a finding consistent with the sex. Increased intracranial pressure is believed to cause acute obstruction of the retinal venous circulation leading to the. Two reports appeared to be from the same cohort of patients. 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. Terson syndrome or terson s syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. An abrupt increase in intracranial pressure icp is typically responsible for this type of intraocular hemorrhage. Papers relating to vitreous haemorrhage in patients with subarachnoid haemorrhage were retrieved. Comparing only patients who did not survive, among those with tersons syndrome the mean age was 51. The ocular pathology of tersons syndrome fang ko, md, david l. Subhyaloid macular haemorrhage in terson syndrome, treated. Terson syndrome american journal of neuroradiology. These causes include carotid artery occlusion, cortical venous sinus thrombosis, moyamoya disease, epidural saline injection, intraarterial angiography, lumbosacral myelomeningocele and iaotrogenic. Terson syndrome has been reported to be caused by, or associated with multiple conditions associated with, a spike in intracranial pressure. It is thought to be due to a rapid increase in icp.

Up to 77% of these cases are overlooked on daily reports 2. Sah generally occurs as a result of a ruptured cerebral aneurysm. Tersons syndrome as a prognostic factor for mortality of. Pdf tersons syndrome associated with arnoldchiari i. O sangue pode estar localizado abaixo da membrana limitante interna da retina ou no espaco subhialoideo. It is also of note that the rates of morbidity and mortality are high among such patients. Tersons syndrome was initially described as vitreous hemorrhage secondary to acute subarachnoid hemorrhage, although recent studies have shown that it can also result from traumatic brain injury or even nontraumatic intracerebral hemorrhage 1. Tersons syndrome most often occurs in patients with severe neurological disease, a glasgow coma scale. To improve understanding of vision loss and clinical. According to table 1, seven patients 50% died in the tersons syndrome group whereas three patients 9% died in the other group p 0. In addition to clinical features of severe subarachnoid hemorrhage, such as headache and coma, patients present with varying degrees of vision loss 4. Terson syndrome was described in 1900 by alfres terson, a french ophthalmologist.