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Magnetic resonance imaging findings of Terson’s syndrome suggesting a possible vitreous hemorrhage mechanism

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Background

The mechanism of Terson’s syndrome is controversial. Here we report magnetic resonance (MR) imaging findings of Terson’s syndrome that may help clarify the mechanism responsible for vitreous hemorrhage.

Case

A 49-year-old man suffered from subarachnoid hemorrhage with bilateral intraocular hemorrhage. Fundus examination revealed sub-internal limiting membrane and retinal hemorrhages in both eyes. MR images were recorded after the neurosurgery.

Conclusion

The vitreous hemorrhage may be caused by a large amount of blood, originally formed by Terson’s syndrome, entering the subarachnoid space around the optic nerve and from there infiltrating the intraocular space through the perivascular space around the central retinal vessels within the optic nerve.

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Authors and Affiliations

  1. Department of Ophthalmology, Shiroyama Hospital, Osaka, Japan

    Masashi Sakamoto

  2. Nakamura Eye Clinic, Matsumoto, Japan

    Kimitoshi Nakamura

  3. Department of Ophthalmology, Osaka Medical College, Osaka, Japan

    Maho Shibata & Tsunehiko Ikeda

  4. Department of Neurosurgery, Osaka Medical College, Osaka, Japan

    Kunio Yokoyama

  5. Department of Radiology, Osaka Medical College, Osaka, Japan

    Mitsuru Matsuki

  6. Department of Ophthalmology, Shiroyama Hospital, 2-8-1 Habikino, Habikino, Osaka, 583-0872, Japan

    Masashi Sakamoto

Authors
  1. Masashi Sakamoto
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  2. Kimitoshi Nakamura
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  3. Maho Shibata
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  4. Kunio Yokoyama
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  5. Mitsuru Matsuki
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  6. Tsunehiko Ikeda
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Corresponding author

Correspondence to Masashi Sakamoto.

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Sakamoto, M., Nakamura, K., Shibata, M. et al. Magnetic resonance imaging findings of Terson’s syndrome suggesting a possible vitreous hemorrhage mechanism. Jpn J Ophthalmol 54, 135–139 (2010). https://doi.org/10.1007/s10384-009-0783-3

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  • DOI: https://doi.org/10.1007/s10384-009-0783-3

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