Terson syndrome with no cerebral hemorrhage: A case report

Abstract

The present study reports the case of a 33-year-old male who presented with Terson syndrome with no cerebral hemorrhage secondary to traumatic brain injury (TBI). A computed tomography scan of the patient, who had sustained an impact injury to the right occipital region, showed no cerebral lesion. Ophthalmoscopy clearly demonstrated vitreous hemorrhage in both eye globes. Vitreous hemorrhage, which results from an abrupt increase in intracranial pressure (ICP), is associated with TBI. In this case, the visual disturbance was attributed to Terson syndrome secondary to TBI. Therefore, close ophthalmological and radiological evaluation is required in patients with TBI, in order to enable the diagnosis of Terson syndrome and an early vitrectomy.

Terson's syndrome leading to fatal outcome in a 36-year-old woman: A case report

“…Terson's syndrome is not an uncommon condition, perhaps it is being underdiagnosed [6] . The presence of vitreous and preretinal hemorrhage without associated cerebral hemorrhage creates challenges for ophthalmologists and neurosurgeons and reduces the suspicion of Terson's syndrome [7] . The reported incidence of Terson's syndrome is 12.5%-40.0% [8] .…”

Terson Syndrome with Roth Spot Resembling Features and Third Nerve Palsy without Radiologically Diagnosed Subarachnoid Haemorrhage

“…Terson's syndrome is defined as the presence of vitreous, preretinal, intraretinal or sub-retinal haemorrhage in the setting of subarachnoid bleeding or increased intracranial pressure after traumatic or non-traumatic intracerebral haemorrhage or even after traumatic brain injury with no intracranial bleeding. [4,7] The most common association of Terson's syndrome is considered to be subarachnoid haemorrhage. Occurrence of Terson's syndrome in cases of subarachnoid haemorrhage results in worse prognosis and significantly increased mortality.…”