Bilateral Intraocular Hemorrhage Secondary to Cerebral Venous Sinus Thrombosis

Kunle-Hassan, Feyi; Dattani, Minaxi; Snead, Martin P.; Subash, Malavika

doi:10.1097/icb.0000000000000458

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Thus, it was not evident if these CVST cases were of idiopathic origin if there was some other cause or risk factor. As such, a total of 63 publications describing 76 cases were analyzed since they met inclusion and exclusion criteria [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , …”

Section: Resultsmentioning

confidence: 99%

Rare Causes of Cerebral Venus Sinus Thrombosis: A Systematic Review

Theologou

Nteveros

Artemiadis

et al. 2023

Life

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Background: Cerebral venous sinus thrombosis (CVST) is a rare manifestation of thrombosis commonly caused by thrombophilia, hormonal-related factors, non-cerebral malignancy, and hematologic diseases. The aim of this review was to identify and summarize rare CVST cases. Methods: A literature search of the Medline database was performed in November 2022. CVST cases of a common cause were excluded. Demographic and clinical data were extracted. Eligible cases were categorized into inflammatory, primary CNS tumors, post-operative/traumatic, and idiopathic groups to allow statistical group comparisons. Results: 76 cases were analyzed. Idiopathic CVST was most frequently reported followed by inflammatory, post-traumatic/operative and primary CNS tumor causes. The intracranial hemorrhage rate was 23.7% and it was found to increase in the inflammatory group (45.8%). Anticoagulation was used in the majority of cases and it was significantly related to better outcomes. A low rate of anticoagulation use (43.8%) was found among CVST cases in the post-operative/traumatic group. The overall mortality rate was 9.8%. 82.4% of patients showed significant early improvement. Conclusions: Most rare CVST cases were either of idiopathic or inflammatory origin. Interestingly, hemorrhage occurred often he idiopathic CVST cases. A low rate of anticoagulation use in neurosurgical CVST cases after trauma or head surgery was observed.

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Section: Resultsmentioning

confidence: 99%

Rare Causes of Cerebral Venus Sinus Thrombosis: A Systematic Review

Theologou

Nteveros

Artemiadis

et al. 2023

Life

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“…Una diferencia importante de estos dos estudios, que explicaría las discrepancias en la incidencia, es que Medele y coautores incluyeron solo a pacientes con presión intracraneal elevada (superior a 20 mmHg), Czorlich y coautores incluyeron todos los grados de lesión cerebral traumática, incluso si el paciente estaba despierto o presentaba discapacidades leves. La mortalidad en los pacientes con hemorragia subaracnoidea y síndrome de Terson es aproximadamente de 30 %, pero, en traumas cerebrales severos se ha descrito entre el 60 % y 90 %; esto demuestra la importancia de la evaluación oftalmológica en la evolución, pronostico y sobrevivencia de estos pacientes 2,[13][14][15][16] .…”

Section: Discussionunclassified

Glaucoma de células fantasmas secundario a Síndrome de Terson en un ojo fáquico

Rivas

2021

Alerta

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Paciente masculino con antecedente de trauma craneoencefálico severo recibido en la unidad de emergencia con una puntuación en la escala de Glasgow de 3 puntos; se describió en la tomografía computarizada un hematoma frontal epidural y una hemorragia subdural aguda; fue intervenido quirúrgicamente por neurocirugía en la Unidad de Emergencias y posteriormente fue llevado a la unidad de cuidados intensivos donde durante la recuperación (2 meses) refirió disminución de la agudeza visual en ojo izquierdo; fue evaluado en el servicio de Oftalmología donde la agudeza visual del ojo derecho fue de 20/40 y en ojo izquierdo no percibe la luz, en la evaluación oftalmológica se evidencia la presión intraocular en ojo izquierdo de 44mmHg, abundante celularidad en cámara anterior y a la evaluación ultrasonografía de cámara vítrea se describe una imagen que se correlaciona con una aparente hemorragia vítrea. Se diagnostica con Glaucoma de células fantasmas y síndrome de Terson; se inicia tratamiento médico con antiglaucomatoso para el glaucoma de células fantasmas y expectante para el síndrome de Terson, a la semana debido a la pobre respuesta se realizó trabeculectomia y vitrectomía vía Pars plana, posterior al tratamiento oftalmológico, se describió una visión de ojo izquierdo de 20/200.

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“…However, fundus hemorrhage caused by intracranial lesions or intracranial treatment has been previously reported as Terson syndrome without SAH. 7 , 8 , 9 , 10 Intracranial lesions included cerebral venous sinus thrombosis 7 and viral meningoencephalitis. 8 In both cases, the etiology of bleeding was intracranial hypertension.…”

Section: Discussionmentioning

confidence: 99%

“… 5 , 6 However, intraocular hemorrhage that was thought to result from Terson syndrome in the absence of SAH has also been reported, e.g., cerebral venous sinus thrombosis, treatment for intracranial disease, and viral meningitis. 7 , 8 , 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

Subarachnoid hemorrhage-negative Terson syndrome after intracranial artery treatment with a flow diverter device

Matsuoka

Matsuda

Harino³

et al. 2020

American Journal of Ophthalmology Case Reports

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Purpose To report a case of subarachnoid hemorrhage-negative Terson syndrome following intracranial artery treatment with flow diverter stents. Observations A 40-year-old Asian woman presented with floaters in her right eye after treatment of an intracranial aneurysm with flow diverter stents. Vitreous hemorrhage and sub-inner limiting membrane (sub-ILM) hemorrhage were present in her right eye. On fluorescein angiography, contrast perfusion and vascular occlusion were not noted. Magnetic resonance imaging (MRI) did not show any evidence of subarachnoid hemorrhage (SAH). We hypothesize that the bleeding was due to Terson syndrome associated with intracranial treatment with the flow diverter stents. During follow-up, the vitreous hemorrhage and sub-ILM hemorrhage disappeared, and the floaters in her vision improved. Conclusions and Importance This is the first reported case of vitreous hemorrhage and sub-ILM hemorrhage that should be considered to be Terson syndrome, after flow diverter stents treatment in the absence of SAH.

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Bilateral Intraocular Hemorrhage Secondary to Cerebral Venous Sinus Thrombosis

Cited by 4 publications

References 6 publications

Rare Causes of Cerebral Venus Sinus Thrombosis: A Systematic Review

Rare Causes of Cerebral Venus Sinus Thrombosis: A Systematic Review

Glaucoma de células fantasmas secundario a Síndrome de Terson en un ojo fáquico

Subarachnoid hemorrhage-negative Terson syndrome after intracranial artery treatment with a flow diverter device

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