Pfausler B, Belcl R, Metzler R, Mohsenipour I, Schmutzhard E
Department of Neurology, University Hospital, Innsbruck, Austria.
J Neurosurg. 1996 Sep;85(3):392-4. doi: 10.3171/jns.1996.85.3.0392.
Sixty consecutive patients with spontaneous subarachnoid hemorrhage (SAH) were prospectively studied by means of indirect funduscopy to address the question of incidence and prognostic implications of Terson's syndrome (TS) after SAH. Terson's syndrome was diagnosed in 10 (16.7%) of 60 patients and was associated with subarachnoid rebleeding in seven of 10. No correlation was found between anatomical localization of the ruptured aneurysm and TS laterality. Case fatality was nine (90%) of 10 in patients with TS compared to five (10%) of 50 in non-TS patients. It is concluded that TS is not infrequent (16.7%) in spontaneous SAH and has a poor prognosis, often heralding subarachnoid rebleeding.
对60例连续的自发性蛛网膜下腔出血（SAH）患者进行前瞻性研究，通过间接眼底镜检查来探讨SAH后Terson综合征（TS）的发生率及预后意义。60例患者中有10例（16.7%）诊断为Terson综合征，其中10例中有7例与蛛网膜下腔再出血相关。破裂动脉瘤的解剖位置与TS的侧别之间未发现相关性。TS患者的病死率为10例中的9例（90%），而非TS患者为50例中的5例（10%）。结论是，TS在自发性SAH中并不罕见（16.7%），且预后不良，常预示蛛网膜下腔再出血。
