Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae
According to prospective studies, vitreous hemorrhage may be diagnosed in 8%-27% of the patients with aneurysmal subarachnoid hemorrhage (SAH) (Terson's syndrome) and has been associated with a bad neurological outcome. In spite of its incidence and prognostic value, vitreous hemorrhage is unde...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2013-06-01
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| Series: | Brazilian Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625999 |
| _version_ | 1818644930989391872 |
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| author | Bruno Lourenço Costa Filipe Mira Ferreira Augusto Barbosa José Lozano Lopes Armando Lopes |
| author_facet | Bruno Lourenço Costa Filipe Mira Ferreira Augusto Barbosa José Lozano Lopes Armando Lopes |
| author_sort | Bruno Lourenço Costa |
| collection | DOAJ |
| description | According to prospective studies, vitreous hemorrhage may be diagnosed in 8%-27% of the patients with aneurysmal subarachnoid hemorrhage (SAH) (Terson's syndrome) and has been associated with a bad neurological outcome. In spite of its incidence and prognostic value, vitreous hemorrhage is underdiagnosed. We describe the case of a 48 year-old woman who was diagnosed with a SAH due to the rupture of an aneurysm of the right middle cerebral artery bifurcation that was surgically treated with minimal neurological morbidity. However, due to vitreous hemorrhage in the right eye, the patient developed visual loss that did not recovered after proper surgical treatment. In the context of the present case we take a timely review of the literature, discussing the incidence, pathophysiology, treatment and prognosis of Terson's syndrome. The reported case stresses that the natural history of Terson's syndrome is not always synonymous with good outcome. Significant visual sequelae due to vitreous hemorrhage are very rare after proper conservative or surgical treatment. The severe visual loss of this patient emphasizes the need for a systematic, early and serial ophthalmological evaluation of all patients with aneurysmal SAH. |
| first_indexed | 2024-12-17T00:22:41Z |
| format | Article |
| id | doaj.art-6d15ad1f89d74ca28d7cd876917a871d |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-17T00:22:41Z |
| publishDate | 2013-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-6d15ad1f89d74ca28d7cd876917a871d2022-12-21T22:10:31ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222013-06-01320211411710.1055/s-0038-1625999Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelaeBruno Lourenço CostaFilipe Mira FerreiraAugusto BarbosaJosé Lozano LopesArmando LopesAccording to prospective studies, vitreous hemorrhage may be diagnosed in 8%-27% of the patients with aneurysmal subarachnoid hemorrhage (SAH) (Terson's syndrome) and has been associated with a bad neurological outcome. In spite of its incidence and prognostic value, vitreous hemorrhage is underdiagnosed. We describe the case of a 48 year-old woman who was diagnosed with a SAH due to the rupture of an aneurysm of the right middle cerebral artery bifurcation that was surgically treated with minimal neurological morbidity. However, due to vitreous hemorrhage in the right eye, the patient developed visual loss that did not recovered after proper surgical treatment. In the context of the present case we take a timely review of the literature, discussing the incidence, pathophysiology, treatment and prognosis of Terson's syndrome. The reported case stresses that the natural history of Terson's syndrome is not always synonymous with good outcome. Significant visual sequelae due to vitreous hemorrhage are very rare after proper conservative or surgical treatment. The severe visual loss of this patient emphasizes the need for a systematic, early and serial ophthalmological evaluation of all patients with aneurysmal SAH.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625999intracranial aneurysmvitreous hemorrhagesubarachnoid hemorrhage |
| spellingShingle | Bruno Lourenço Costa Filipe Mira Ferreira Augusto Barbosa José Lozano Lopes Armando Lopes Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae Brazilian Neurosurgery intracranial aneurysm vitreous hemorrhage subarachnoid hemorrhage |
| title | Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae |
| title_full | Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae |
| title_fullStr | Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae |
| title_full_unstemmed | Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae |
| title_short | Terson's syndrome: neurosurgical considerations on the subject of a rare case with ophthalmological sequelae |
| title_sort | terson s syndrome neurosurgical considerations on the subject of a rare case with ophthalmological sequelae |
| topic | intracranial aneurysm vitreous hemorrhage subarachnoid hemorrhage |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625999 |
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