Document Detail

Subarachnoid hemorrhage-negative terson syndrome after balloon-assisted coil embolization in a patient with underlying antiphospholipid antibody syndrome.
MedLine Citation:
PMID:  25372431     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: To report subarachnoid hemorrhage-negative Terson syndrome after coil embolization of an unruptured intracranial aneurysm in a patient with underlying antiphospholipid syndrome.
METHODS: Retrospective case report. A 48-year-old woman with underlying antiphospholipid syndrome.
RESULTS: Our patient underwent balloon-assisted coil embolization of an unruptured right internal carotid artery aneurysm. There was herniation of the second coil requiring coil retrieval with subsequent nonflow limiting herniation of the first coil left in situ on anticoagulation. In the immediate postprocedure period, she developed preretinal, intraretinal, and vitreous hemorrhages requiring temporary withholding of anticoagulation therapy with careful resumption. Visual acuity was counting fingers and there was an afferent pupillary defect. Two week after discharge, the patient underwent a pars plana vitrectomy for dense breakthrough vitreous hemorrhage. Four weeks after pars plana vitrectomy, her visual acuity was 20/400.
CONCLUSION: Terson syndrome should be considered in a patient with visual symptoms after not only aneurysmal subarachnoid hemorrhage but also non-subarachnoid hemorrhage elective aneurysm coiling as demonstrated by our case.
Vikas Gupta; Anton M Kolomeyer; Neelakshi Bhagat; Roger E Turbin; Charles J Prestigiacomo; Chirag D Gandhi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Retinal cases & brief reports     Volume:  8     ISSN:  1937-1578     ISO Abbreviation:  Retin Cases Brief Rep     Publication Date:  2014  
Date Detail:
Created Date:  2014-11-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101298744     Medline TA:  Retin Cases Brief Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  171-4     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Treatment of recalcitrant radiation maculopathy using intravitreal dexamethasone (ozurdex) implant.
Next Document:  Spontaneous choroidal hemorrhage in a patient on dabigatran etexilate (pradaxa).