Significance of Fundal Hemorrhage in Predicting the State of the Patient with Ruptured Intracranial Aneurysm

Rácz, Paul; Bobest, M.; Szilvássy, I

doi:10.1159/000308636

Cited by 13 publications

(1 citation statement)

References 9 publications

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“…4 The most strikingly significant featuresupplementing our knowledge derived from retrospective studies 1,3,[8][9][10][11][12]16,18 -was the fact that seven of 10 patients with TS suffered or had suffered from subarachnoid rebleeding. 4 The most strikingly significant featuresupplementing our knowledge derived from retrospective studies 1,3,[8][9][10][11][12]16,18 -was the fact that seven of 10 patients with TS suffered or had suffered from subarachnoid rebleeding.…”

Section: Discussionmentioning

confidence: 99%

Terson's syndrome in spontaneous subarachnoid hemorrhage: a prospective study in 60 consecutive patients

Pfausler¹,

Belcl²,

Metzler³

et al. 1996

Journal of Neurosurgery

104

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Sixty consecutive patients with spontaneous subarachnoid hemorrhage (SAH) were prospectively studied by means of indirect funduscopy to address the question of incidence and prognostic implications of Terson's syndrome (TS) after SAH. Terson's syndrome was diagnosed in 10 (16.7%) of 60 patients and was associated with subarachnoid rebleeding in seven of 10. No correlation was found between anatomical localization of the ruptured aneurysm and TS laterality. Case fatality was nine (90%) of 10 in patients with TS compared to five (10%) of 50 in non-TS patients. It is concluded that TS is not infrequent (16.7%) in spontaneous SAH and has a poor prognosis, often heralding subarachnoid rebleeding.

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