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Terson's Syndrome

Published online by Cambridge University Press:  23 September 2016

Francois Paquette ,
Tim E. Darsaut ,
Mikael Sebag  and
Alain Weill
Francois Paquette
Affiliation:
Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, Montréal, Québec, Canada
Tim E. Darsaut
Affiliation:
Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, Montréal, Québec, Canada
Mikael Sebag
Affiliation:
Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, Montréal, Québec, Canada
Alain Weill*
Affiliation:
Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, Montréal, Québec, Canada
*
CHUM Notre-Dame Hospital, Department of Radiology, 1560 Sherbrooke East, Pavilion Lachapelle, Suite B-1036, Montreal, Quebec, H2L 4M1, Canada
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A 51-year-old male was admitted following subarachnoid hemorrhage (SAH) (Figure 1). His Glasgow coma score was 15. Other than headache and a defect in his right visual field, his neurological exam was normal. Cerebral angiography demonstrated a 3 mm anterior communicating artery aneurysm which was successfully excluded with endovascular coiling. Due to persistent visual complaints, an ophthalmology consult was obtained, which revealed a scotoma of the right eye. Fundoscopy demonstrated a large subhyaloid hemorrhage of the right eye (Figure 2), and a small retinal hemorrhage with papilledema of the left eye. Intraocular pressure was slightly higher than normal, 31 mmHg, in both eyes. The diagnosis of Terson’s syndrome (TS) was made, and the decision was made to follow him conservatively for at least six months.

Type
Neuroimaging Highlights
Information
Canadian Journal of Neurological Sciences , Volume 37 , Issue 6 , November 2010 , pp. 861 - 862
Copyright
Copyright © The Canadian Journal of Neurological 2010

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