Arakawa Y, Goto Y, Ishii A, Ueno Y, Kikuta K, Yoshizumi H, Katsuta H, Kenmochi S, Yamagata S
Department of Neurosurgery, Kurashiki Central Hospital, Okayama.
Neurol Med Chir (Tokyo). 2000 Sep;40(9):480-3. doi: 10.2176/nmc.40.480.
A 24-year-old female presented with Terson syndrome secondary to bilateral ventricular hemorrhage as a complication of moyamoya disease. Ophthalmoscopy and magnetic resonance imaging clearly demonstrated vitreous hemorrhage in the left eye globe. Various visual symptoms are associated with moyamoya disease, almost all of which result from ischemic lesions in the visual cortex and optic pathways. In this case, the visual disturbance was caused by Terson syndrome secondary to ventricular hemorrhage. Close ophthalmological and radiological evaluation is mandatory even in patients with moyamoya disease and hemorrhagic manifestation located in the intracerebral, subarachnoid, or intraventricular space.
一名24岁女性因烟雾病并发症双侧脑室出血继发Terson综合征就诊。眼底镜检查和磁共振成像清楚地显示左眼玻璃体积血。烟雾病可伴有多种视觉症状,几乎所有这些症状都是由视觉皮层和视路的缺血性病变引起的。在本例中,视觉障碍是由脑室出血继发的Terson综合征所致。即使对于患有烟雾病且颅内、蛛网膜下腔或脑室内有出血表现的患者,也必须进行密切的眼科和影像学评估。