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Pseudotumor cerebri syndrome causing a terson like syndrome
Joseph Raevis1, Valerie I Elmalem2
1State University of New York Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY, 11203, United States.
American Journal of Ophthalmology Case Reports
|December 11, 2020
Summary
Terson syndrome, characterized by retinal hemorrhages, can be caused by elevated intracranial pressure. A case of pseudotumor cerebri leading to Terson-like syndrome suggests peripapillary vessel leakage as a likely cause.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Terson syndrome involves retinal and vitreous hemorrhages, often linked to subarachnoid hemorrhage or elevated intracranial pressure.
- The exact source of these hemorrhages remains debated, with theories including direct extension or peripapillary retinal vessel bleeding.
Observation:
- A 39-year-old woman presented with symptoms of increased intracranial pressure, diagnosed as pseudotumor cerebri syndrome.
- She exhibited vitreous, subretinal, and intraretinal hemorrhages, consistent with a Terson-like syndrome.
Findings:
- The patient's symptoms and hemorrhages resolved with acetazolamide treatment.
- This case supports the hypothesis that peripapillary retinal vessels may be the source of hemorrhage in Terson syndrome.
Implications:
- This case offers insights into the mechanism of Terson syndrome, particularly when associated with conditions causing elevated intracranial pressure.
- Understanding the etiology of these hemorrhages can guide diagnosis and management of Terson syndrome.
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