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- Title
Atypical Terson syndrome after subarachnoid hemorrhage from middle cerebral artery aneurysm rupture during coitus.
- Authors
Marrone, Salvatore; Pizzo, Corrado; Paolini, Federica; Giovannini, Evier Andrea; Crea, Antonio; Cinquemani, Giovanni; Lipani, Rita; Ruggeri, Luca; Mandelli, Jaime; Iacopino, Domenico Gerardo; Bona, Giuseppe; Basile, Luigi
- Abstract
Background: Terson syndrome (TS) is a neuro-ophthalmologic disease arising due to subarachnoid hemorrhage (SAH), resulting in the formation of subhyaloid hemorrhagic spots. These spots can affect the ability to see due to the alteration of the optic cameras. Although it often affects both eyes, the symptoms and the eye involvement can be asymmetrical in rare cases. Case Description: We described the case of a 52-year-old female patient who developed Terson disease following the rupture of a right middle cerebral artery aneurysm occurring during coitus with SAH (Fisher grade III). The aneurysm was treated by endovascular coiling. Interestingly, despite the major involvement of the right eye, the patient primarily manifested symptoms of visual changes in the left eye. Conclusion: TS is a frequent ocular complication of SAH, with symptoms typically affecting both eyes. Characterized by hemorrhagic spots in both subhyaloid layers, the syndrome's symptomatology is generally bilateral. However, in the case described, the manifestation is deemed atypical, primarily appearing contralateral to the hemisphere exhibiting a greater pattern of SAH.
- Subjects
INTRACRANIAL aneurysms; SUBARACHNOID hemorrhage; CEREBRAL arteries; INTRACRANIAL hypertension; SOFT tissue injuries
- Publication
Surgical Neurology International, 2024, Vol 15, p1
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.25259/SNI_287_2024