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Terson syndrome with bilateral optic nerve sheath hemorrhage.
Authors:Chiaki D Gauntt  Richard G Sherry  Chithra Kannan
Institution:Department of Neurology, University of Louisville School of Medicine, Louisville, KY, USA. cgauntt@gaunttmd.com
Abstract:A 53-year-old man presented with an acute headache and mental status changes due to rupture of an anterior choroidal artery aneurysm. A preoperative CT scan demonstrated subarachnoid hemorrhage, bilateral optic nerve sheath hemorrhage, and bilateral intraocular hemorrhage. Ophthalmoscopy and B-scan ocular ultrasound disclosed vitreous hemorrhages, features consistent with Terson syndrome. This is the first CT report of Terson syndrome showing bilateral optic nerve sheath hemorrhage.
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