Terson syndrome with bilateral optic nerve sheath hemorrhage.
A 53-year-old man presented with an acute headache and mental status changes due to rupture of an anterior choroidal artery aneurysm. A preoperative CT scan demonstrated subarachnoid hemorrhage, bilateral optic nerve sheath hemorrhage, and bilateral intraocular hemorrhage. Ophthalmoscopy and B-scan ocular ultrasound disclosed vitreous hemorrhages, features consistent with Terson syndrome. This is the first CT report of Terson syndrome showing bilateral optic nerve sheath hemorrhage.
Gauntt
Chiaki D
CD
Department of Neurology, University of Louisville School of Medicine, Louisville, KY, USA. cgauntt@gaunttmd.com
Sherry
Richard G
RG
Kannan
Chithra
C
D002343:Carotid Artery, Internal / Q000473:pathology / Q000503:physiopathology; D018450:Disease Progression; D004621:Embolization, Therapeutic; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009900:Optic Nerve / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology*; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014822:Vitreous Body / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D014823:Vitreous Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology