Terson征:

Luiz Severo Bem Junior, Gustavo Souza Andrade, João Ribeiro Memória Júnior, H. A. Filho
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引用次数: 0

摘要

Terson征(TS)通常被定义为与动脉瘤源性蛛网膜下腔出血相关的玻璃体出血,是严重程度的重要预测指标,表明与没有该征的患者相比,发病率和死亡率更高。本研究的目的是回顾Terson综合征/Terson征与动脉瘤性蛛网膜下腔出血预后的关系。在PubMed、Scielo、Cochrane和ScienceDirect平台上搜索原始文章、研究和病例报告,描述如下:Terson征和蛛网膜下腔出血。选择过去5年中发表的符合既定目标和纳入标准的回顾性、前瞻性文章和病例报告。选择了十(10)篇文章,其中可用的结果显示TS和蛛网膜下腔出血的不良预后关系,因为这些患者的临床状况更差,格拉斯哥量表≤8,Hunt&Hess>III,Fisher>3,此外还有颅内高压和动脉瘤在前交通动脉复合体中的位置。阿尔伯特·泰森在1900年描述的这种情况的早期认识为神经外科带来了重要贡献,直到今天才得到认可。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Terson sign:
Terson's sign (TS) is classically defined as vitreous hemorrhage associated with subarachnoid hemorrhage of aneurysmal origin, being an important predictor of severity, indicating greater morbidity and mortality when compared to patients without the sign. The objective of this study is to review the relationship of Terson syndrome/Terson sign with the prognosis of aneurysmal subarachnoid hemorrhage. A search for original articles, research and case reports was performed on the PubMed, Scielo, Cochrane and ScienceDirect platform, with the following descriptors: Terson sign and subarachnoid hemorrhage. Retrospective, prospective articles and case reports published in the last 5 years and which were in accordance with the established objective and inclusion criteria were selected. Ten (10) articles were selected, in which the available results show an unfavorable prognostic relationship of TS and subarachnoid hemorrhage, because these patients had a worse clinical status assessed on the Glasgow scales ≤ 8, Hunt & Hess > III, Fisher > 3, in addition to intracranial hypertension and location of the aneurysm in the anterior communicating artery complex. The early recognition of this condition described by Albert Terson in 1900 brought an important contribution to neurosurgery, being recognized until nowadays.
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