| A systematic review of Terson's syndrome: frequency and prognosis after subarachnoid haemorrhage. | |
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MedLine Citation:
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PMID: 14966173 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To review systematically the frequency and prognostic significance of vitreous haemorrhage in patients with subarachnoid haemorrhage (Terson's syndrome). METHODS: Papers relating to vitreous haemorrhage in patients with subarachnoid haemorrhage were retrieved. The only studies considered were those with at least 10 consecutive cases of subarachnoid haemorrhage with or without vitreous haemorrhage. The frequency of vitreous haemorrhage in such cases was calculated in prospective and retrospective studies. Mortality was compared in patients with and without Terson's syndrome. RESULTS: 154 papers were reviewed. Three prospective studies and six retrospective studies satisfied the inclusion criteria. Of 181 patients with subarachnoid haemorrhage assessed prospectively (mean age, 51.7 years), 24 (13%) had vitreous haemorrhage; among 1086 retrospective records, 37 (3%) had documented vitreous haemorrhage (p<0.001). Patients with Terson's syndrome had higher Hunt and Hess grades than those without (mean grade, 3.6 v 2.6). Patients with Terson's syndrome were also more likely to die (13 of 30 (43%) v 31 of 342 (9%); odds ratio 4.8; p<0.001). CONCLUSIONS: Prospective studies show a higher frequency of Terson's syndrome than retrospective studies, suggesting that vitreous haemorrhage is not well documented. Vitreous haemorrhage is an adverse prognostic finding in patients with subarachnoid haemorrhage. |
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Authors:
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M O McCarron; M J Alberts; P McCarron |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of neurology, neurosurgery, and psychiatry Volume: 75 ISSN: 0022-3050 ISO Abbreviation: J. Neurol. Neurosurg. Psychiatr. Publication Date: 2004 Mar |
Date Detail:
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Created Date: 2004-02-17 Completed Date: 2004-03-23 Revised Date: 2008-11-20 |
Medline Journal Info:
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Nlm Unique ID: 2985191R Medline TA: J Neurol Neurosurg Psychiatry Country: England |
Other Details:
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Languages: eng Pagination: 491-3 Citation Subset: IM |
Affiliation:
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Department of Neurology, Royal Victoria Hospital, Belfast, UK. markmccarron@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Comorbidity Female Humans Incidence Male Middle Aged Prognosis Prospective Studies Retrospective Studies Subarachnoid Hemorrhage / etiology*, pathology* Syndrome Vitreous Hemorrhage / etiology*, pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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