Winterkorn J M
Department of Ophthalmology, North Shore University Hospital-Cornell University Medical College, Manhasset, New York.
Surv Ophthalmol. 1993 Mar-Apr;37(5):362-72. doi: 10.1016/0039-6257(93)90066-g.
On routine examination, a 61-year-old man was found to have a deep peripapillary hemorrhage surrounding his left optic nerve head. Further examination revealed a left sixth nerve paresis, a subtle right homonymous quadrantanopia, and jerky pursuit to the left. The diagnostic work-up was delayed by the patient because of business commitments. He returned confused and obtunded. Neuro-imaging showed a large frontal mass, which turned out to be an anaplastic astrocytoma. Diagnosis of the lesion had been obscured by three false localizing signs. Discussion deals with the definition of Terson's syndrome and the occurrence of peripapillary hemorrhages. Other causes of peripapillary hemorrhages are illustrated.
在常规检查中，一名61岁男性被发现其左视盘周围有深部乳头周围出血。进一步检查发现左侧外展神经麻痹、轻微的右侧同向象限盲以及向左的眼球追踪运动急促。由于工作原因，患者推迟了诊断检查。他回来时意识模糊、反应迟钝。神经影像学检查显示额叶有一个大肿块，结果是间变性星形细胞瘤。该病变的诊断因三个假定位体征而变得模糊。讨论了Terson综合征的定义以及乳头周围出血的发生情况。还列举了乳头周围出血的其他原因。
