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2015 ; 17
(3
): 203-8
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Practical Incidence and Risk Factors of Terson s Syndrome: A Retrospective
Analysis in 322 Consecutive Patients with Aneurysmal Subarachnoid Hemorrhage
#MMPMID26526120
Lee GI
; Choi KS
; Han MH
; Byoun HS
; Yi HJ
; Lee BR
J Cerebrovasc Endovasc Neurosurg
2015[Sep]; 17
(3
): 203-8
PMID26526120
show ga
OBJECTIVE: Terson's syndrome, a complication of visual function, has occasionally
been reported in patients with aneurysmal subarachnoid hemorrhage (SAH), however
the factors responsible for Terson's syndrome in aneurysmal SAH patients have not
yet been fully clarified. In this study, we report on potential risk factors for
prediction and diagnosis of Terson's syndrome in the earlier stage of the disease
course in patients with aneurysmal SAH. MATERIALS AND METHODS: The authors
retrospectively analyzed the data of 322 consecutive patients who suffered from
aneurysmal SAH in a single institution between Jan. 2007 and Dec. 2013. Medical
records including demographics, neurologic examination, and radiologic images
were collected to clarify the risk factors of Terson's syndrome. Patients with
visual problem were consulted to the Department of Ophthalmology. RESULTS: Among
332 patients with aneurysmal SAH, 34 patients were diagnosed as Terson's
syndrome. Four individual factors, including World Federation of Neurosurgical
Societies (WFNS) grade at admission, aneurysm size, method of operation, and
Glasgow outcome scale showed statistically significant association with
occurrence of Terson's syndrome. Of these, WFNS grade at admission, aneurysm
size, and method of operation showed strong association with Terson's syndrome in
multivariate analysis. Terson's syndrome accompanied by papilledema due to
increased intracranial pressure led to permanent visual complication. CONCLUSION:
In patients with aneurysmal SAH, the patients' WFNS grade at admission, the size
of the aneurysms, particularly the diameter of the aneurysm dome, and the method
of operation might influence development of Terson's syndrome.