[Acute preretinal hemorrhage before life threatening complications of subarachnoid hemorrhage].
BACKGROUND
To report on a patient with acute preretinal and intraretinal bleedings as first clinical signs of a life-threatening subarachnoid hemorrhage.


METHODS
A 36-year-old, so far healthy woman complained of decreased vision, which had started eight hours before. She presented herself in good general condition. Ophthalmoscopic evaluation showed intraretinal hemorrhages in both eyes and a preretinal hemorrhage in the left eye. During the examination, the patient fainted and suffered generalized seizure. Cranial computed tomography revealed a subarachnoid hemorrhage originating from an internal carotid artery aneurysm.


CONCLUSIONS
Acute intraretinal and preretinal bleedings in apparently healthy patients can be precursors of eventually life-threatening complications of subarachnoid hemorrhages.
Augenklinik mit Poliklinik, Friedrich-Alexander Universität Erlangen-Nürnberg.
W M
WM
Budde
A
A
Jünemann
D000328:Adult; D002340:Carotid Artery Diseases / Q000175:diagnosis*; D002343:Carotid Artery, Internal / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis*; D009887:Ophthalmoscopy; D012166:Retinal Hemorrhage / Q000175:diagnosis*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
Akute präretinale Blutung vor den lebensbedrohlichen Komplikationen einer Subarachnoidalblutung.