使用血流导向装置治疗颅内动脉后出现蛛网膜下腔出血阴性的Terson综合征。
Subarachnoid hemorrhage-negative Terson syndrome after intracranial artery treatment with a flow diverter device.
作者信息
Matsuoka Takanori, Matsuda Satoshi, Harino Seiyo, Kumoi Miho, Tachibana Eri, Yokoyama Junko, Tsujino Chieko, Kazuo Kumiko, Otori Yasumasa
机构信息
National Hospital Organization Osaka National Hospital, Osaka, Japan.
Harino Eye Clinic, Osaka, Japan.
出版信息
Am J Ophthalmol Case Rep. 2020 Oct 24;20:100978. doi: 10.1016/j.ajoc.2020.100978. eCollection 2020 Dec.
PURPOSE
To report a case of subarachnoid hemorrhage-negative Terson syndrome following intracranial artery treatment with flow diverter stents.
OBSERVATIONS
A 40-year-old Asian woman presented with floaters in her right eye after treatment of an intracranial aneurysm with flow diverter stents. Vitreous hemorrhage and sub-inner limiting membrane (sub-ILM) hemorrhage were present in her right eye. On fluorescein angiography, contrast perfusion and vascular occlusion were not noted. Magnetic resonance imaging (MRI) did not show any evidence of subarachnoid hemorrhage (SAH). We hypothesize that the bleeding was due to Terson syndrome associated with intracranial treatment with the flow diverter stents. During follow-up, the vitreous hemorrhage and sub-ILM hemorrhage disappeared, and the floaters in her vision improved.
CONCLUSIONS AND IMPORTANCE
This is the first reported case of vitreous hemorrhage and sub-ILM hemorrhage that should be considered to be Terson syndrome, after flow diverter stents treatment in the absence of SAH.
目的
报告1例在使用血流导向支架治疗颅内动脉后出现蛛网膜下腔出血阴性的Terson综合征病例。
观察结果
一名40岁的亚洲女性在使用血流导向支架治疗颅内动脉瘤后出现右眼飞蚊症。右眼存在玻璃体出血和内界膜下（sub-ILM）出血。在荧光素血管造影检查中，未发现造影剂灌注和血管闭塞情况。磁共振成像（MRI）未显示任何蛛网膜下腔出血（SAH）的证据。我们推测出血是由于与血流导向支架颅内治疗相关的Terson综合征所致。在随访期间，玻璃体出血和内界膜下出血消失，她视力中的飞蚊症有所改善。
结论与意义
这是首例在无SAH情况下经血流导向支架治疗后出现玻璃体出血和内界膜下出血且应被视为Terson综合征的病例报告。
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