A Case of Terson-Like Syndrome in a Patient with Viral Meningoencephalitis
Joint Authors
Asahi, Masumi G.
Weiss, Stephanie J.
Peddada, Krishi
Malik, Deepika
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-24
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The proposed mechanism of Terson’s syndrome is increased intracranial pressure that leads to dilation of the retrobulbar optic nerve and compression of the central retinal vein.
Terson’s syndrome has been associated with many conditions that increase intracranial pressure such as venous sinus thrombosis, Moyamoya disease, leukemia, direct head trauma, and intraocular hemorrhage related to shaken baby syndrome.
We present a novel case of a patient with recent viral prodrome found to have papilledema and multilayered retinal hemorrhages consistent with Terson syndrome.
Computed tomography and magnetic resonance venography of the brain did not reveal any subdural, subarachnoid, or intracranial hemorrhages.
However, cerebrospinal fluid analyses were significant for increased opening pressure and elevated protein levels, which were suggestive of viral meningoencephalitis.
We describe this case as a Terson-like syndrome because the etiology of intraocular hemorrhage is increased intracranial pressure.
However, this case does not fit the traditional presentation of Terson’s syndrome as the intracranial pressure is secondary to meningeal inflammation instead of subdural, subarachnoid, or intracranial hemorrhage.
We strongly feel that it is important for physicians to be aware of the link between viral meningoencephalitis and retinal conditions such as Terson-like syndrome because it can facilitate rapid diagnosis and treatment.
American Psychological Association (APA)
Asahi, Masumi G.& Weiss, Stephanie J.& Peddada, Krishi& Malik, Deepika. 2019. A Case of Terson-Like Syndrome in a Patient with Viral Meningoencephalitis. Case Reports in Ophthalmological Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142398
Modern Language Association (MLA)
Asahi, Masumi G.…[et al.]. A Case of Terson-Like Syndrome in a Patient with Viral Meningoencephalitis. Case Reports in Ophthalmological Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1142398
American Medical Association (AMA)
Asahi, Masumi G.& Weiss, Stephanie J.& Peddada, Krishi& Malik, Deepika. A Case of Terson-Like Syndrome in a Patient with Viral Meningoencephalitis. Case Reports in Ophthalmological Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142398
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142398