Terson's syndrome in spontaneous spinal subarachnoid haemorrhage

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Michelle L BakerDamien Tange

Abstract

This paper is a case report of Terson's Syndrome (TS) in spontaneous spinal subarachnoid haemorrhage (SAH). A 66-year-old woman with acute onset of severe back pain was transferred to our institution for management of her sciatica. The presence of an intraretinal haemorrhage alerted us to consider intracranial SAH, but investigations showed no intracranial source. Eventually, the patient was diagnosed with a thoracic spinal SAH. The patient's symptoms gradually improved with conservative management but within 1 month she had a recurrence. A spinal and CT angiogram did not elicit the aetiology. The diagnosis of spontaneous spinal SAH can be difficult. The recognition of TS has important prognostic implications, often heralding subarachnoid rebleeding. Fundoscopic examination appears mandatory as a tool for diagnosis and regular non-invasive monitoring of patients with SAH.

References

Jan 1, 1992·Scandinavian Journal of Infectious Diseases·D TorreG P Fiori
Apr 28, 2004·Spinal Cord·Y H KimH J Kim

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Citations

May 24, 2011·Neurocritical Care·Anhar HassanKelly D Flemming
Sep 1, 2014·Neurosurgical Review·Patrick CzorlichJan Regelsberger
Jul 28, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Patrick CzorlichJan Regelsberger
May 25, 2010·Clinical & Experimental Ophthalmology·Andrea L Vincent, Patrick Kelly
Jun 26, 2021·Journal of Neurology·Ashwin KumariaHarshal A Ingale

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