• World Neurosurg · Dec 2018

    Terson syndrome secondary to subarachnoid hemorrhage: a case report and literature review.

    • Yeqing Ren, Yongqiang Wu, and Geng Guo.
    • The Second Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi 030001, China.
    • World Neurosurg. 2018 Dec 29.

    BackgroundTerson syndrome is a serious complication of subarachnoid hemorrhage includes any intraocular hemorrhage and may result in blurred vision or even blindness. However, it is often overlooked clinically.Case DescriptionA 42-year-old man presented with coma due to rupture of a left posterior communicating artery aneurysm. A preoperative CT scan demonstrated subarachnoid hemorrhage (SAH) and bilateral fundus hemorrhage. Visual evoked potential (VEP) and B-scan ocular ultrasound revealed vitreous hemorrhages, features consistent with Terson syndrome. Pars plana vitrectomy was performed 2 weeks after SAH with a subsequent improvement of visual acuity.ConclusionsEarly identification is important for the recovery of the patient's nervous system and ophthalmology. Neurosurgeons should be aware of the pathology and pay attention to it to maximize patient's benefit.Copyright © 2018. Published by Elsevier Inc.

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