Terson's syndrome presenting as an ophthalmic emergency.
OBJECTIVE
To report an unusual case of Terson's syndrome caused by a ruptured intracranial aneurysm presenting as an ophthalmic emergency with visual loss, without any neurological features at the time of presentation.


METHODS
Case report. A 38-year-old man was referred to the eye emergency department with sudden loss of vision in both eyes. Vitreous haemorrhage was noted in both eyes. There was no history of loss of consciousness or headaches and no signs of meningeal irritation at presentation. The patient subsequently developed progressive neck stiffness and headache.


RESULTS
Neuro-imaging studies revealed a subarachnoid haemorrhage resulting from a ruptured carotid-ophthalmic artery aneurysm.


CONCLUSIONS
It is important to consider Terson's syndrome, a potentially life-threatening condition, in any patient presenting with bilateral vitreous haemorrhage. Some patients may not show any headache, neurological deficits or signs of meningeal irritation at presentation but may develop them later on.
Murthy
Shashidhar
S
Royal Glamorgan Hospital, Llantrisant, UK. ynsm@hotmail.com
Salas
David
D
Hirekataur
Srinivas
S
Ram
Raghu
R
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000473:pathology*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D004638:Emergency Treatment; D006801:Humans; D008297:Male; D009880:Ophthalmic Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D012166:Retinal Hemorrhage / Q000209:etiology*; D012422:Rupture, Spontaneous; D013577:Syndrome; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology*