TERSON SYNDROME FOLLOWING TRAUMATIC BRAIN INJURY
We aim to present a case of a patient with bilateral Terson's syndrome following traumatic subacute subdural hematoma and highlight its clinical and ophthalmological course.
A 56 year old male presented to the emergency room at Hospital São Geraldo–UFMG with decreased vision in both eyes (OU) and a persistent holocranial headache for the past 2 months. He had sustained a blunt head injury with an unspecified object to his parietal region 3 months prior. No medical work up was done at the time. Patient denied any past medical history or previous drug use. Upon ophthalmological examination, the best corrected visual acuity (BCVA) was 20/50 in his right eye (OD) and 20/63 in his left eye (OS) using the ETDRS chart. Fundus exam revealed a mild vitreous hemorrhage, significant disc oedema with circumjacent intraretinal hemorrhages OU. Head CT scan showed isodense bilateral frontoparietal subdural hematomas measuring 11 mm and 15 mm on the right and left side respectively. At post op day 7 of surgical drainage of the subdural hematomas, BCVA was 20/32 OD and 20/50 OS.
Based on the patient's medical history and clinical presentation, the diagnosis of Terson's syndrome due to bilateral frontoparietal subdural hematomas was made. Despite the usual high morbidity and mortality associated with these cases, our patient had a relatively benign course with no neurological deficits and a good visual outcome.
Terson's syndrome; peripapillary hemorrhages; disc oedema; vitreous hemorrhage
Retina e Vítreo
Naiara Lopes Burgos, Gustavo De Barros Massote, Luciana De Figueiredo Barbosa, Juliana Moreira Maia
