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Terson syndrome with ipsilateral severe hemorrhagic retinopathy in a 7-month-old child

Gaurav Bhardwaj1, Mark B Jacobs, Kieran T Moran

  • 1Faculty of Medicine, University of New South Wales, Randwick, Australia.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|September 28, 2010
PubMed

Insights

In infants, abusive head trauma often causes intraocular hemorrhages. This case highlights extensive retinal bleeding in an infant due to a ruptured intracranial aneurysm, a rare presentation of Terson syndrome.

Area of Science:

  • Ophthalmology
  • Neurology
  • Pediatrics

Background:

  • Intracranial hemorrhage in infants is frequently linked to abusive head trauma.
  • Terson syndrome, characterized by intraocular hemorrhages, is uncommon in infants and typically affects the posterior pole.
  • Retinal findings in infant Terson syndrome are not extensively documented.

Observation:

  • A 7-month-old male infant presented with symptoms following a ruptured intracranial aneurysm.
  • The infant experienced a subarachnoid hemorrhage.
  • This led to the development of ipsilateral, extensive preretinal and intraretinal hemorrhages.

Findings:

  • The infant's extensive retinal hemorrhages were associated with a subarachnoid hemorrhage from a ruptured intracranial aneurysm.
  • This presentation is a rare occurrence of Terson syndrome in an infant.
  • The retinal hemorrhages were extensive and involved both preretinal and intraretinal spaces.

Implications:

  • This case expands the understanding of Terson syndrome presentations in infants.
  • It underscores the importance of considering intracranial vascular events, such as ruptured aneurysms, as a cause of intraocular hemorrhage in infants.
  • Further research is needed to fully characterize retinal findings in infant Terson syndrome secondary to aneurysmal rupture.

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