Wang YunZu Michele, Nudleman Eric, Vinocur Daniel, Kuo Dennis John
Departments of Pediatric Hematology-Oncology.
Ophthalmology.
J Pediatr Hematol Oncol. 2018 Mar;40(2):141-142. doi: 10.1097/MPH.0000000000001047.
A previously healthy 2-year-old female infant presented with pancytopenia and was diagnosed with acute lymphoblastic leukemia. Before the initiation of treatment, she developed symptoms concerning for increased intracranial pressure. Head imaging revealed left parietal hemorrhage, in addition to a right vitreous hemorrhage, which was confirmed on ophthalmology examination later. Terson syndrome, in which intraocular hemorrhage is associated with intracranial hemorrhage, is more commonly reported in adults, although ocular manifestations of leukemia have been reported at presentation and are typically asymptomatic.
一名既往健康的2岁女婴出现全血细胞减少，被诊断为急性淋巴细胞白血病。在开始治疗前，她出现了颅内压升高的相关症状。头部影像学检查显示左侧顶叶出血，此外还有右侧玻璃体出血，这一点后来经眼科检查得以证实。特尔森综合征是指眼内出血与颅内出血相关，虽然白血病的眼部表现已有报道且通常无症状，但该综合征在成人中报道更为常见。
