Bilateral retinal hemorrhage after endoscopic third ventriculostomy: iatrogenic Terson syndrome.
A serious ophthalmological complication of an endoscopic third ventriculostomy that created an iatrogenic Terson syndrome is described. A patient with an obstructive hydrocephalus was treated endoscopically, but due to the inadvertent use of a pressure bag during rinsing, in combination with a blocked outflow channel, a steep rise in intracranial pressure occurred. Postoperatively the patient experienced disturbed vision caused by bilateral retinal hemorrhages, and an iatrogenic Terson syndrome was diagnosed. The pathogenesis of Terson syndrome is discussed based on this illustrative case.
Hoving
Eelco W
EW
Departments of Neurosurgery, University Medical Centre Groningen, P.O. Box 30.001, 9700RB Groningen, The Netherlands. e.w.hoving@nchir.umcg.nl
Rahmani
Mehrnoush
M
Los
Leonie I
LI
Renardel de Lavalette
Victor W
VW
D000328:Adult; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D044583:Neuroendoscopy / Q000009:adverse effects*; D012166:Retinal Hemorrhage / Q000209:etiology*; D014696:Ventriculostomy / Q000009:adverse effects* / Q000379:methods; D014786:Vision Disorders / Q000209:etiology