蛛网膜下腔出血继发的Terson综合征：一例报告
Terson Syndrome Secondary to Subarachnoid Hemorrhage: A Case Report.
作者信息
Ren Yeqing, Wu Yongqiang, Guo Geng
机构信息
Department of Neurosurgery, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Department of Neurosurgery, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
出版信息
World Neurosurg. 2019 Apr;124:25-28. doi: 10.1016/j.wneu.2018.12.084. Epub 2018 Dec 30.
BACKGROUND
Terson syndrome is a serious complication of subarachnoid hemorrhage (SAH) that includes any intraocular hemorrhage and may result in blurred vision or even blindness. However, it is often overlooked clinically.
CASE DESCRIPTION
A 42-year-old man presented with coma due to rupture of a left posterior communicating artery aneurysm. A preoperative computed tomography scan demonstrated SAH and bilateral fundus hemorrhage. Visual evoked potential and B-scan ocular ultrasound revealed vitreous hemorrhages, features consistent with Terson syndrome. Pars plana vitrectomy was performed 2 weeks after SAH with a subsequent improvement of visual acuity.
CONCLUSIONS
Early identification is important for the recovery of the patient's nervous system and ophthalmology. Neurosurgeons should be aware of the pathology and pay attention to it to maximize patient's benefit.
背景
泰森综合征是蛛网膜下腔出血（SAH）的一种严重并发症，包括任何眼内出血，可能导致视力模糊甚至失明。然而，临床上它常常被忽视。
病例描述
一名42岁男性因左后交通动脉瘤破裂而昏迷。术前计算机断层扫描显示蛛网膜下腔出血和双侧眼底出血。视觉诱发电位和B超眼部超声检查显示玻璃体出血，这些特征与泰森综合征相符。蛛网膜下腔出血2周后进行了玻璃体切除术，随后视力有所改善。
结论
早期识别对患者神经系统和眼科的恢复很重要。神经外科医生应了解该病理情况并予以关注，以最大程度地使患者受益。
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