Bilateral amaurosis due to brain aneurysm rupture

Subarachnoid Hemorrhage-Negative Terson Syndrome After Balloon-Assisted Coil Embolization in a Patient With Underlying Antiphospholipid Antibody Syndrome

“…Although deep venous thrombosis is the most common clinical manifestation of APS, it may affect multiple organs causing acute and chronic ischemia. 5 To the best of our knowledge, our case is the first one highlighting the association between SAH-negative Terson syndrome in a patient with primary APS after endovascular coil embolization of an unruptured intracranial aneurysm. A wide range of vaso-occlusive involvement of anterior and posterior segment is seen which may manifest as monocular or binocular transient visual obscuration, amaurosis fugax, transient scotoma, or visual field defect.…”

“…2 Antiphospholipid syndrome (APS) is characterized by arterial, venous, or small-vessel thrombosis, unexplained deaths or premature births of morphologically normal fetus, and multiple spontaneous abortions. 5 Based on the review of literature, we believe that ours is the first case highlighting SAH-negative Terson syndrome after endovascular coiling of an unruptured intracranial aneurysm in a patient with APS. An association between APS and several forms of retinal vascular disease has been described.…”