一名 52 岁男子动脉瘤性蛛网膜下腔出血伴迟发性玻璃体出血(特森综合征),经球囊辅助夹闭术和迟发性玻璃体切除术成功治愈。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Thanos Vassilopoulos, Christos Tsitsipanis, Anastasios Stavrakakis, Konstantinos Ntotsikas, Nikolaos Moustakis, Athanasios K Theofanopoulos, Sofia Lazarioti, Christos Bartsokas, Konstantina M Raouzaiou, Andronikos Trikkos, Georgia Kritikou, Efstratios Konidis, Miltiadis K Tsilimbaris, Andreas Yannopoulos
{"title":"一名 52 岁男子动脉瘤性蛛网膜下腔出血伴迟发性玻璃体出血(特森综合征),经球囊辅助夹闭术和迟发性玻璃体切除术成功治愈。","authors":"Thanos Vassilopoulos, Christos Tsitsipanis, Anastasios Stavrakakis, Konstantinos Ntotsikas, Nikolaos Moustakis, Athanasios K Theofanopoulos, Sofia Lazarioti, Christos Bartsokas, Konstantina M Raouzaiou, Andronikos Trikkos, Georgia Kritikou, Efstratios Konidis, Miltiadis K Tsilimbaris, Andreas Yannopoulos","doi":"10.12659/AJCR.943567","DOIUrl":null,"url":null,"abstract":"<p><p>BACKGROUND Terson's syndrome (TS) is a medical condition characterized by intraocular bleeding that can lead to visual impairment and is associated to subarachnoid hemorrhage (SAH). The pathophysiology and natural history are not well established in the current literature. This report describes successful treatment of a 52-year-old man with aneurysmal SAH who developed late-onset TS using balloon-assisted coiling and vitrectomy to raise awareness of this important complication of aneurysmal SAH. CASE REPORT A 52-year-old smoker with no known past medical history presented to the emergency department with a sudden, severe headache that worsened with photophobia and phonophobia. The patient had a diffuse SAH and underwent an embolization procedure. After 48 hours of close Intensive Care Unit monitoring, the patient's vital signs were stable, and the GCS score was consistently 15/15. However, after 3 weeks in the hospital, the patient experienced blurred vision and a right upper quadrantanopia. Further examination revealed TS and the patient underwent a vitrectomy in 1 eye. The surgery was successful and the eye recovered to 20/20 with no complications. However, the other eye showed slow absorption of the hemorrhage, and a vitrectomy was scheduled for that eye as well. CONCLUSIONS TS is a complication of aneurysmal SAH that can lead to vision loss and increased morbidity. It often goes undiagnosed, and ophthalmologists are not regularly consulted. Late manifestation of the condition is exemplified by the present case. Early detection and intervention are crucial for better patient outcomes.</p>","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330943/pdf/","citationCount":"0","resultStr":"{\"title\":\"A 52-Year-Old Man with Aneurysmal Subarachnoid Hemorrhage Associated with Delayed-Onset Vitreous Hemorrhage (Terson's Syndrome) Successfully Treated with Balloon-Assisted Coiling and Delayed Vitrectomy.\",\"authors\":\"Thanos Vassilopoulos, Christos Tsitsipanis, Anastasios Stavrakakis, Konstantinos Ntotsikas, Nikolaos Moustakis, Athanasios K Theofanopoulos, Sofia Lazarioti, Christos Bartsokas, Konstantina M Raouzaiou, Andronikos Trikkos, Georgia Kritikou, Efstratios Konidis, Miltiadis K Tsilimbaris, Andreas Yannopoulos\",\"doi\":\"10.12659/AJCR.943567\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>BACKGROUND Terson's syndrome (TS) is a medical condition characterized by intraocular bleeding that can lead to visual impairment and is associated to subarachnoid hemorrhage (SAH). The pathophysiology and natural history are not well established in the current literature. This report describes successful treatment of a 52-year-old man with aneurysmal SAH who developed late-onset TS using balloon-assisted coiling and vitrectomy to raise awareness of this important complication of aneurysmal SAH. CASE REPORT A 52-year-old smoker with no known past medical history presented to the emergency department with a sudden, severe headache that worsened with photophobia and phonophobia. The patient had a diffuse SAH and underwent an embolization procedure. After 48 hours of close Intensive Care Unit monitoring, the patient's vital signs were stable, and the GCS score was consistently 15/15. However, after 3 weeks in the hospital, the patient experienced blurred vision and a right upper quadrantanopia. Further examination revealed TS and the patient underwent a vitrectomy in 1 eye. The surgery was successful and the eye recovered to 20/20 with no complications. However, the other eye showed slow absorption of the hemorrhage, and a vitrectomy was scheduled for that eye as well. CONCLUSIONS TS is a complication of aneurysmal SAH that can lead to vision loss and increased morbidity. It often goes undiagnosed, and ophthalmologists are not regularly consulted. Late manifestation of the condition is exemplified by the present case. Early detection and intervention are crucial for better patient outcomes.</p>\",\"PeriodicalId\":39064,\"journal\":{\"name\":\"American Journal of Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330943/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12659/AJCR.943567\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12659/AJCR.943567","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

摘要

背景 特森综合征(Terson's Syndrome,TS)是一种以眼底出血为特征的疾病,可导致视力损伤,并与蛛网膜下腔出血(SAH)有关。病理生理学和自然史在目前的文献中尚未得到很好的证实。本报告描述了对一名 52 岁动脉瘤性 SAH 患者的成功治疗,该患者使用球囊辅助卷曲术和玻璃体切除术治疗了晚发性 TS,从而提高了人们对动脉瘤性 SAH 这一重要并发症的认识。病例报告 一位 52 岁的吸烟者因突发剧烈头痛到急诊科就诊,头痛加剧并伴有畏光和畏声。患者为弥漫性 SAH,接受了栓塞手术。经过重症监护室 48 小时的严密监护,患者的生命体征稳定,GCS 评分一直保持在 15/15。然而,住院 3 周后,患者出现了视力模糊和右上象限视力障碍。进一步检查发现患者患有 TS,于是对其一只眼睛进行了玻璃体切除术。手术很成功,视力恢复到了 20/20,没有出现任何并发症。然而,另一只眼的出血吸收缓慢,因此也计划对该眼进行玻璃体切除术。结论 TS 是动脉瘤性 SAH 的一种并发症,可导致视力丧失和发病率增加。这种并发症往往得不到诊断,眼科医生也不会定期会诊。本病例就是晚期表现的例证。早期发现和干预对改善患者预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 52-Year-Old Man with Aneurysmal Subarachnoid Hemorrhage Associated with Delayed-Onset Vitreous Hemorrhage (Terson's Syndrome) Successfully Treated with Balloon-Assisted Coiling and Delayed Vitrectomy.

BACKGROUND Terson's syndrome (TS) is a medical condition characterized by intraocular bleeding that can lead to visual impairment and is associated to subarachnoid hemorrhage (SAH). The pathophysiology and natural history are not well established in the current literature. This report describes successful treatment of a 52-year-old man with aneurysmal SAH who developed late-onset TS using balloon-assisted coiling and vitrectomy to raise awareness of this important complication of aneurysmal SAH. CASE REPORT A 52-year-old smoker with no known past medical history presented to the emergency department with a sudden, severe headache that worsened with photophobia and phonophobia. The patient had a diffuse SAH and underwent an embolization procedure. After 48 hours of close Intensive Care Unit monitoring, the patient's vital signs were stable, and the GCS score was consistently 15/15. However, after 3 weeks in the hospital, the patient experienced blurred vision and a right upper quadrantanopia. Further examination revealed TS and the patient underwent a vitrectomy in 1 eye. The surgery was successful and the eye recovered to 20/20 with no complications. However, the other eye showed slow absorption of the hemorrhage, and a vitrectomy was scheduled for that eye as well. CONCLUSIONS TS is a complication of aneurysmal SAH that can lead to vision loss and increased morbidity. It often goes undiagnosed, and ophthalmologists are not regularly consulted. Late manifestation of the condition is exemplified by the present case. Early detection and intervention are crucial for better patient outcomes.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
American Journal of Case Reports
American Journal of Case Reports Medicine-Medicine (all)
CiteScore
1.80
自引率
0.00%
发文量
599
期刊介绍: American Journal of Case Reports is an international, peer-reviewed scientific journal that publishes single and series case reports in all medical fields. American Journal of Case Reports is issued on a continuous basis as a primary electronic journal. Print copies of a single article or a set of articles can be ordered on demand.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信