性交时大脑中动脉瘤破裂导致蛛网膜下腔出血后的非典型特森综合征。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.25259/SNI_287_2024
Salvatore Marrone, Corrado Pizzo, Federica Paolini, Evier Andrea Giovannini, Antonio Crea, Giovanni Cinquemani, Rita Lipani, Luca Ruggeri, Jaime Mandelli, Domenico Gerardo Iacopino, Giuseppe Bona, Luigi Basile
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引用次数: 0

摘要

背景:特森综合征(Terson Syndrome,TS)是一种神经眼科疾病,由蛛网膜下腔出血(SAH)引起,导致蛛网膜下腔出血点的形成。由于视摄像头发生改变,这些出血点会影响视力。虽然这种疾病通常会影响双眼,但在极少数病例中,症状和受累眼睛可能是不对称的:我们描述了一例 52 岁女性患者的病例,她在同房时右侧大脑中动脉动脉瘤破裂并伴有 SAH(费舍尔 III 级),随后患上了 Terson 病。动脉瘤通过血管内旋转治疗。有趣的是,尽管右眼主要受累,但患者主要表现为左眼视力变化的症状:结论:TS 是 SAH 常见的眼部并发症,其症状通常会影响双眼。该综合征的特点是在两个蝶骨下层出现出血点,症状一般为双侧。然而,在所描述的病例中,这种表现被认为是不典型的,主要出现在SAH模式较多的半球的对侧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Atypical Terson syndrome after subarachnoid hemorrhage from middle cerebral artery aneurysm rupture during coitus.

Background: Terson syndrome (TS) is a neuro-ophthalmologic disease arising due to subarachnoid hemorrhage (SAH), resulting in the formation of subhyaloid hemorrhagic spots. These spots can affect the ability to see due to the alteration of the optic cameras. Although it often affects both eyes, the symptoms and the eye involvement can be asymmetrical in rare cases.

Case description: We described the case of a 52-year-old female patient who developed Terson disease following the rupture of a right middle cerebral artery aneurysm occurring during coitus with SAH (Fisher grade III). The aneurysm was treated by endovascular coiling. Interestingly, despite the major involvement of the right eye, the patient primarily manifested symptoms of visual changes in the left eye.

Conclusion: TS is a frequent ocular complication of SAH, with symptoms typically affecting both eyes. Characterized by hemorrhagic spots in both subhyaloid layers, the syndrome's symptomatology is generally bilateral. However, in the case described, the manifestation is deemed atypical, primarily appearing contralateral to the hemisphere exhibiting a greater pattern of SAH.

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