Terson syndrome

Terson syndrome

Infobox_Disease
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Caption =
DiseasesDB = 32502
ICD10 =
ICD9 =
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = oph
eMedicineTopic = 753
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Terson syndrome or Terson's syndrome is the occurrence of a vitreous hemorrhage of the human eye in association with subarachnoid hemorrhage. It also includes any intraocular hemorrhage associated with intracranial hemorrhage and elevated intracranial pressure (ICP). Intraocular hemorrhage can be a subretinal, retinal, preretinal, subhyaloidal, or intra-vitreal hemorrhage. Its likely cause is a rapid increase in ICP.cite journal |author=Medele RJ, Stummer W, Mueller AJ, Steiger HJ, Reulen HJ |title=Terson's syndrome in subarachnoid hemorrhage and severe brain injury accompanied by acutely raised intracranial pressure |journal=J. Neurosurg. |volume=88 |issue=5 |pages=851–4 |year=1998 |pmid=9576253 |doi=10.3171/foc.2001.11.4.3| url=http://thejns.org/doi/pdf/10.3171/foc.2001.11.4.3|format=PDF] The classic presentation is in the subhyaloidal space, which is beneath the posterior vitreous face and in front of the retina.fact|date=March 2008

In subarachnoid hemorrhage, 13% of patients have Terson's syndrome, which is associated with more severe SAH (higher Hunt-Hess score, a marker of severity), and risk of death is significantly increased.cite journal |author=McCarron MO, Alberts MJ, McCarron P |title=A systematic review of Terson's syndrome: frequency and prognosis after subarachnoid haemorrhage |journal=J. Neurol. Neurosurg. Psychiatr. |volume=75 |issue=3 |pages=491–3 |year=2004 |pmid=14966173 |url=http://jnnp.bmj.com/cgi/content/full/75/3/491 |doi=10.1136/jnnp.2003.016816]

The first known report of the association was by the German ophthalmologist Moritz Litten in 1881. [cite journal|author=Litten M|title=Ueber Einige vom Allgemein-Klinischen Standpunkt aus Interessante Augenveränderungen|journal=Berl Klin Wochenschr|year=1881|volume=18|pages=23–7] Still, French ophthalmologist Albert Terson's name is more commonly associated with the condition after a report by his hand from 1900. [cite journal|author=Terson A|title=De l'hémorrhagie dans le corps vitre au cours de l'hémorrhagie cerebrale|journal=Clin Ophthalmol|year=1900|volume=6|pages=309–12]

References

External links

* [http://www.emedicine.com/oph/topic753.htm eMedicine topic]


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  • syndrome — The aggregate of symptoms and signs associated with any morbid process, and constituting together the picture of the disease. SEE ALSO: disease. [G. s., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… …   Medical dictionary

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  • Moritz Litten — (August 10, 1845 – May 31, 1907) was a German physician who was a native of Berlin. He was a son in law to pathologist Ludwig Traube (1818–1876). He studied medicine at the Universities of Heidelberg, Marburg and Berlin, and in 1868 earned his… …   Wikipedia

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