Mazza Jacob M, Tank Parth, LoPresti Melissa A, Scoville Jonathan P, Bohnsack Brenda L, Lam Sandi
1Division of Pediatric Neurosurgery, Department of Neurosurgery, Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
2Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois.
J Neurosurg Case Lessons. 2023 Jun 19;5(25). doi: 10.3171/CASE2390.
Terson syndrome is the phenomenon of intraocular hemorrhage in the setting of subarachnoid hemorrhage (SAH). Vision loss can lead to morbidity for the affected individual. Aneurysmal SAH related to intracranial aneurysms is rare in children. Studies have shown the incidence of Terson syndrome in adults with aneurysmal SAH to be over 40%; however, few cases of Terson syndrome in pediatric aneurysmal SAH have been reported.
A 9-year-old male presented with altered mental status and seizures. Computed tomographic angiography showed aneurysmal SAH from a ruptured, left-sided posterior inferior cerebellar artery aneurysm. The patient underwent endovascular treatment with coiling and external ventricular drainage for SAH. Ophthalmological consultation for blurry vision revealed the diagnosis of Terson syndrome with decreased vision in the left eye, which was managed conservatively.
Terson syndrome after SAH can occur in children. Prompt ophthalmological evaluation in pediatric patients with aneurysmal SAH is vital for recognition and management to decrease overall morbidity.
泰森综合征是蛛网膜下腔出血（SAH）时出现的眼内出血现象。视力丧失会给受影响个体带来发病风险。儿童中与颅内动脉瘤相关的动脉瘤性SAH较为罕见。研究表明，成人动脉瘤性SAH中泰森综合征的发生率超过40%；然而，小儿动脉瘤性SAH中泰森综合征的病例报告较少。
一名9岁男性出现精神状态改变和癫痫发作。计算机断层血管造影显示左侧小脑后下动脉动脉瘤破裂导致动脉瘤性SAH。患者接受了动脉瘤栓塞和SAH的脑室外引流的血管内治疗。因视力模糊进行眼科会诊，诊断为泰森综合征，左眼视力下降，采取保守治疗。
SAH后的泰森综合征可发生于儿童。小儿动脉瘤性SAH患者及时进行眼科评估对于识别和管理以降低总体发病率至关重要。
