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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(11): 837
DOI: 10.1590/0004-282X20170161
Images in Neurology

Terson's syndrome in the context of intracranial hemorrhage

SíndromeTerson no contexto das hemorragias intracranianas
Ana Paula Alves Fonseca
1   Universidade Federal do Espírito Santo, Departamento de Radiologia, Vitória ES, Brasil
,
Marcos Rosa Júnior
2   Universidade Federal do Espírito Santo, Departamento de Neurorradiologia, Vitória ES, Brasil
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A 62-year-old man was admitted with a hypertensive emergency, anisocoria and decreased level of consciousness. The CT scan showed a hemorrhage in the brainstem and an intraocular hemorrhage ([Figure]), consistent with Terson's syndrome, a condition that is classically characterized as a vitreous hemorrhage secondary to a subarachnoid hemorrhage. However, it can also be considered as a traumatic hemorrhage and, more rarely, as an intraparenchymal hemorrhage. The etiology has been attributed to a rapid increase in intracranial pressure, resulting in reduced retinal venous drainage and leading to vitreous bleeding. Terson's syndrome is associated a high rate of morbidity and mortality not only in patients with subarachnoid hemorrhage[1],[2],[3],[4],[5].

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Figure Computed tomography (CT) showed a hemorrhage in the brainstem and in the vermis of the cerebellum (black arrow in A) and an intraocular hemorrhage in the right eye (white arrow in B), which appeared as spontaneously hyperdense areas on the CT.


Publication History

Received: 24 September 2016

Accepted: 11 August 2017

Article published online:
01 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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