Terson Syndrome: Assessment of 53 Patients with Subarachnoid Hemorrhage by a Ruptured Aneurysm
Arq. bras. neurocir; 40 (3), 2021
Publication year: 2021
Objective Terson syndrome (TS), also known as vitreous hemorrhage, is reported in
patients with subarachnoid hemorrhage caused by a ruptured aneurysm. This study
aims to evaluate the presence of ocular hemorrhage in such patients, trying to identify
those who could benefit from the specific treatment for visual deficit recovery.
Methods Prospective study of 53 patients with spontaneous subarachnoid hemorrhage
(SSAH) due to ruptured aneurysm. The patients were evaluated for vitreous
hemorrhage through indirect fundoscopy with 6 to 12 months of follow-up.
Results The ages of the patients ranged from 17 to 79 years-old (mean age,
45.9 11.7); 39 patients were female (73%) and 14 were male (27%). Six patients
(11%) presented TS, and 83.3% had a transient loss of consciousness during ictus.
Conclusions An ophthalmologic evaluation must be routinely performed in subarachnoid
hemorrhage patients, especially in those with worse neurological grade. Moreover,
prognosis was bad in TS patients.
Hemorragia Subaracnoidea/diagnóstico por imagen, Hemorragia Subaracnoidea/etiología, Hemorragia Subaracnoidea/mortalidad, Rotura de la Aorta/diagnóstico por imagen, Rotura de la Aorta/complicaciones, Rotura de la Aorta/mortalidad, Hemorragia Vítrea/diagnóstico por imagen, Hemorragia Vítrea/mortalidad, Técnicas de Diagnóstico Oftalmológico, Pronóstico, Distribución de Chi-Cuadrado, Interpretación Estadística de Datos