Terson's sign (TS) is classically defined as vitreous hemorrhage associated with subarachnoid hemorrhage of aneurysmal origin, being an important predictor of severity, indicating greater morbidity and mortality when compared to patients without the sign. The objective of this study is to review the relationship of Terson syndrome/Terson sign with the prognosis of aneurysmal subarachnoid hemorrhage. A search for original articles, research and case reports was performed on the PubMed, Scielo, Cochrane and ScienceDirect platform, with the following descriptors: Terson sign and subarachnoid hemorrhage. Retrospective, prospective articles and case reports published in the last 5 years and which were in accordance with the established objective and inclusion criteria were selected. Ten (10) articles were selected, in which the available results show an unfavorable prognostic relationship of TS and subarachnoid hemorrhage, because these patients had a worse clinical status assessed on the Glasgow scales ≤ 8, Hunt & Hess > III, Fisher > 3, in addition to intracranial hypertension and location of the aneurysm in the anterior communicating artery complex. The early recognition of this condition described by Albert Terson in 1900 brought an important contribution to neurosurgery, being recognized until nowadays.
Introduction: Intradural extramedullary spinal tumors are usually treated with surgical excision in order to achieve functional improvement and quality of life. Objective: The aim of this study was to identify prognostic factors and to evaluate the outcome of surgical treatment. Methods: Data from medical records of 49 patients who underwent surgery for intradural extramedullary spinal tumor in a single institution - Hospital da Restauração - were collected. The outcome of the patients was assessed through the McCormick Scale and EuroQol-5 dimensions (EQ-5D) in the preoperative period and last follow-up. Results: Significant improvement in the functional status after surgical treatment was observed. There was 93.3% of improvement and 6.7% of stability. A worse functional result was related to a longer symptoms duration (p = 0.074). Age, symptoms duration, tumor location, histopathological diagnosis, and McCormick preoperative had no significant association with the McCormick at final follow-up (p>0.05). Conclusion: Surgical treatment significantly improved the quality of life and neurological deficits of the vast majority of patients. Age, symptoms duration, tumor location, histopathological diagnosis and McCormick preoperative grade did not present prognostic correlation in this study.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.