Terson’s Syndrome: Never Let It Slide! (A Case Report)



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Submitted Sep 16, 2022
Published Nov 10, 2022
10.24018/ejmed.2022.4.6.1517

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Terson's syndrome is defined by an intraocular (vitreous, retinal or retrohyaloid) hemorrhage, consequent to an acute intracranial bleeding or a sudden elevated intracranial pressure. Undiagnosed early, Terson's syndrome can be responsible for serious ocular complication that can leads to complete vision loss.

We report a 57 year old patient representing Terson's syndrome after an acute rupture of an aneurysm of the right sylvian artery. The rapid diagnosis and management of Terson's syndrome in our patient’s case allowed for a quick recovery and a better prognosis. Therefore, the importance of always thinking of Terson's syndrome a possible diagnosis upon such clinical presentation.

Keywords: Macula subarachnoid hemorrage, ocular hemorrhage, Terson's syndrome, trauma

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  1. Czorlich P, Skevas C, Knospe V, Vettorazzi E, Richard G, Wagenfeld L, et al. Terson syndrome in subarachnoid hemorrhage, intracerebral hemorrhage, and traumatic brain injury. Neurosurg Rev. Epub 2014.
    DOI  |   Google Scholar
  2. Michalewska Z, Michalewski J, Nawrocki J. Possible methods of blood entrance in Terson syndrome. Ophthalmic Surg Lasers Imaging. 2010; 41(Suppl): S42–S49.
     Google Scholar
  3. Iuliano L, Fogliato G, Codenotti M. Intrasurgical imaging of subinternal limiting membrane blood diffusion in terson syndrome. Case Rep Ophthalmol Med. 2014; 2014: 689793.
    DOI  |   Google Scholar
  4. Gress DR, Wintermark M, Gean AD. A case of Terson syndrome and its mechanism of bleeding. J Neuroradiol. 2013; 40(4): 312-4.
    DOI  |   Google Scholar
  5. Skevas C, Czorlich P, Knospe V, Stemplewitz B, Richard G, Westphal M, et al. Terson's syndrome--rate and surgical approach in patients with subarachnoid hemorrhage: a prospective interdisciplinary study. Ophthalmology. 2014; 121(8): 1628-33.
    DOI  |   Google Scholar
  6. Ogawa T, Kitaoka T, Dake Y, Amemiya T. Terson syndrome: a case report suggesting the mechanism of vitreous hemorrhage. Ophthalmology. 2001; 108(9): 1654-6.
    DOI  |   Google Scholar
  7. Michalewska Z, Michalewski J, Nawrocki J. Possible methods of blood entrance in Terson syndrome. Ophthalmic Surg Lasers Imaging. 2010; 41 Suppl: S42-9.
    DOI  |   Google Scholar
  8. Verbraeken H, Van Egmond J. Non-diabetic and non-oculotraumatic vitreous haemorrhage treated by pars plana vitrectomy. Bull Soc Belge Ophtalmol. 1999; 272: 83-9.
     Google Scholar
  9. Fountas KN, Kapsalaki EZ, Lee GP, Machinis TG, Grigorian AA, Robinson JS, et al. Terson hemorrhage in patients suffering aneurysmal subarachnoid hemorrhage: predisposing factors and prognostic significance. J Neurosurg. 2008; 109(3): 439-44.
    DOI  |   Google Scholar
  10. Fahmy JA. Vitreous haemorrhage in subarachnoid haemorrhage--Terson's syndrome. Report of a case with macular degeneration as a complication. Acta Ophthalmol (Copenh). 1972; 50(2):137-43.
    DOI  |   Google Scholar
  11. Garfinkle AM, Danys IR, Nicolle DA, Colohan AR, Brem S. Terson's syndrome: a reversible cause of blindness following subarachnoid hemorrhage. J Neurosurg. 1992; 76(5): 766-71.
    DOI  |   Google Scholar
  12. Pfausler B, Belcl R, Metzler R, Mohsenipour I, Schmutzhard E. Terson's syndrome in spontaneous subarachnoid hemorrhage: a prospective study in 60 consecutive patients. J Neurosurg. 1996; 85(3): 392-4.
    DOI  |   Google Scholar
  13. Sung W, Arnaldo B, Sergio C, Juliana S, Michel F. Terson's syndrome as a prognostic factor for mortality of spontaneous subarachnoid haemorrhage. Acta Ophthalmol. 2011; 89(6): 544-7.
    DOI  |   Google Scholar
  14. Kapoor S. Terson syndrome: an often overlooked complication of subarachnoid hemorrhage. World Neurosurg. 2014: 81.
    DOI  |   Google Scholar
  15. Stienen MN, Lücke S, Gautschi OP, Harders A. Terson haemorrhage in patients suffering aneurysmal subarachnoid haemorrhage: a prospective analysis of 60 consecutive patients. Clin Neurol Neurosurg. 2012; 114(6): 535-538.
    DOI  |   Google Scholar
  16. Swallow CE, Tsuruda JS, Digre KB, Glaser MJ, Davidson HC, Harnsberger HR. Terson syndrome: CT evaluation in 12 patients. AJNR Am J Neuroradiol. 1998; 19(4): 743-7.
     Google Scholar
  17. Sharma T, Gopal L, Biswas J, Shanmugam MP, Bhende PS, Agrawal R, Shetty NS, Sanduja N. Results of vitrectomy in Terson syndrome. Ophthalmic Surg Lasers. 2002; 33(3): 195-9.
    DOI  |   Google Scholar
  18. Gnanaraj L, Tyagi AK, Cottrell DG, Fetherston TJ, Richardson J, Stannard KP, Inglesby DV. Referral delay and ocular surgical outcome in Terson syndrome. Retina. 2000; 20(4): 374-7.
    DOI  |   Google Scholar
  19. Keithahn MA, Bennett SR, Cameron D, Mieler WF. Retinal folds in Terson syndrome. Ophthalmology. 1993; 100: 1187-1190.
    DOI  |   Google Scholar
  20. Mena OJ, Paul I, Reichard RR. Ocular findings in raised intracranial pressure: a case of Terson syndrome in a 7-month-old infant. Am J Forensic Med Pathol. 2011; 32: 55-57.
    DOI  |   Google Scholar
  21. Rubowitz A, Desai U. Nontraumatic macular holes associated with Terson syndrome. Retina. 2006; 26(2): 230-2.
    DOI  |   Google Scholar
  22. Glatt H, Machemer R. Experimental subretinal hemorrhage in rabbits. Am J Ophthalmol. 1982; 94: 762-773.
    DOI  |   Google Scholar
  23. Garweg JG, Koerner F. Outcome indicators for vitrectomy in Terson syndrome. Acta Ophthalmol. 2009; 87(2): 222-6.
    DOI  |   Google Scholar
  24. Augsten R, Königsdörffer E, Strobel J. Surgical approach in terson syndrome: vitreous and retinal findings. Eur J Ophthalmol. 2000; 10(4): 293-6.
    DOI  |   Google Scholar
  25. Nacef L, Zghal-Mokni I, Allagui I. Indications and results of vitrectomy in Terson syndrome. Tunis Med. 2004; 82: 461-464.
     Google Scholar


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