Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report
Terson's syndrome occurs as a result of intraocular hemorrhage associated with intracranial hemorrhage, but was formerly used to describe vitreous hemorrhage associated with Aneurysmal Subarachnoid Hemorrhage (SAH). We present a case of a 36-year-old woman who was not a known hypertensive but p...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324000906 |
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| author | Klenam Dzefi-Tettey, MD Emmanuel Kobina Mesi Edzie, MD Edmund Kwakye Brakohiapa, MD Ofosu Atta Amaning, MBCHB Albert Dayor Piersson, PhD |
| author_facet | Klenam Dzefi-Tettey, MD Emmanuel Kobina Mesi Edzie, MD Edmund Kwakye Brakohiapa, MD Ofosu Atta Amaning, MBCHB Albert Dayor Piersson, PhD |
| author_sort | Klenam Dzefi-Tettey, MD |
| collection | DOAJ |
| description | Terson's syndrome occurs as a result of intraocular hemorrhage associated with intracranial hemorrhage, but was formerly used to describe vitreous hemorrhage associated with Aneurysmal Subarachnoid Hemorrhage (SAH). We present a case of a 36-year-old woman who was not a known hypertensive but presented with a sudden onset of loss of vision in both eyes and a few hours later became deeply unconscious. A computed tomography (CT) scan of the head revealed massive intracerebral hemorrhage with intraventricular extension secondary to severe hypertension and bilateral acute retinal hemorrhages due to the acute rise in intracranial pressure and the recently described ocular glymphatic system provides a novel perspective on the pathophysiology. A diagnosis of Terson's syndrome was made but unfortunately, her clinical condition deteriorated and she expired a few hours after the CT scan. Terson's syndrome is usually associated with poor clinical outcomes from increased intracranial pressure. Implication for clinical practice is that radiologists should critically examine the orbits during imaging for retinal hemorrhage in the setting of severe intracranial hemorrhage for the necessary ophthalmological and neurosurgical interventions to be made since most patients present with sudden onset of loss of vision. |
| first_indexed | 2024-03-07T22:55:13Z |
| format | Article |
| id | doaj.art-4d31adbb1de941e4a545013c7721674e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:12:25Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-4d31adbb1de941e4a545013c7721674e2024-03-10T05:11:51ZengElsevierRadiology Case Reports1930-04332024-05-0119518271831Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case reportKlenam Dzefi-Tettey, MD0Emmanuel Kobina Mesi Edzie, MD1Edmund Kwakye Brakohiapa, MD2Ofosu Atta Amaning, MBCHB3Albert Dayor Piersson, PhD4Department of Radiology, Korle Bu Teaching Hospital, Accra, Ghana; Corresponding author.Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Radiology, University of Ghana Medical School, Accra, GhanaDepartment of Radiology, Korle Bu Teaching Hospital, Accra, GhanaDepartment of Imaging Technology and Sonography, University of Cape Coast, Cape Coast, GhanaTerson's syndrome occurs as a result of intraocular hemorrhage associated with intracranial hemorrhage, but was formerly used to describe vitreous hemorrhage associated with Aneurysmal Subarachnoid Hemorrhage (SAH). We present a case of a 36-year-old woman who was not a known hypertensive but presented with a sudden onset of loss of vision in both eyes and a few hours later became deeply unconscious. A computed tomography (CT) scan of the head revealed massive intracerebral hemorrhage with intraventricular extension secondary to severe hypertension and bilateral acute retinal hemorrhages due to the acute rise in intracranial pressure and the recently described ocular glymphatic system provides a novel perspective on the pathophysiology. A diagnosis of Terson's syndrome was made but unfortunately, her clinical condition deteriorated and she expired a few hours after the CT scan. Terson's syndrome is usually associated with poor clinical outcomes from increased intracranial pressure. Implication for clinical practice is that radiologists should critically examine the orbits during imaging for retinal hemorrhage in the setting of severe intracranial hemorrhage for the necessary ophthalmological and neurosurgical interventions to be made since most patients present with sudden onset of loss of vision.http://www.sciencedirect.com/science/article/pii/S1930043324000906Terson's syndromeIntraocular hemorrhageComputed tomographyIntracranial hemorrhage |
| spellingShingle | Klenam Dzefi-Tettey, MD Emmanuel Kobina Mesi Edzie, MD Edmund Kwakye Brakohiapa, MD Ofosu Atta Amaning, MBCHB Albert Dayor Piersson, PhD Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report Radiology Case Reports Terson's syndrome Intraocular hemorrhage Computed tomography Intracranial hemorrhage |
| title | Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report |
| title_full | Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report |
| title_fullStr | Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report |
| title_full_unstemmed | Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report |
| title_short | Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report |
| title_sort | terson s syndrome leading to fatal outcome in a 36 year old woman a case report |
| topic | Terson's syndrome Intraocular hemorrhage Computed tomography Intracranial hemorrhage |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324000906 |
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