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Klin Monbl Augenheilkd 2013; 230(4): 419-422
DOI: 10.1055/s-0032-1328369
Studie
Georg Thieme Verlag KG Stuttgart · New York

Terson-Syndrom – ein vernachlässigtes Problem?

Tersonʼs Syndrome – A Neglected Problem?
D. R. Brunner
1   Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland (Chair: Prof. Klara Landau)
,
G. Traber
1   Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland (Chair: Prof. Klara Landau)
,
E. Keller
2   Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland (Chair: Prof. René Bernays)
,
A. Pangalu
3   Institute of Neuroradiology, University Hospital Zurich, Zurich, Switzerland (Chair: Prof. Anton Valavanis)
,
K. Landau
1   Department of Ophthalmology, University Hospital Zurich, Zurich, Switzerland (Chair: Prof. Klara Landau)
› Author Affiliations
Further Information

Publication History

eingereicht 16 September 2012

akzeptiert 03 February 2013

Publication Date:
29 April 2013 (online)

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Zusammenfassung

Hintergrund: Ziel unserer Studie war die Analyse der Inzidenz und des prognostischen Wertes intraokularer Blutungen als Folge von Subarachnoidalblutungen.

Patienten und Methode: Retrospektive Auswertung der Daten aller zwischen 2005 und 2010 mit einer Subarachnoidalblutung im Universitätsspital Zürich hospitalisierten Patienten. Alle Patienten wurden anhand der Glasgow-Koma-, Hunt-und-Hess-, WFNS- und Fisher-Skalen klassifiziert.

Ergebnisse: Von 391 Patienten waren lediglich 26 ophthalmologisch untersucht worden. Von diesen zeigten 11/26 (42 %) ein Terson-Syndrom, verglichen mit 11/391 (2,8 %) über die gesamte Kohorte. Patienten mit Intraokularblutung zeigten einen Trend zu tieferen GCS-Werten und höheren Hunt-und-Hess-, WFNS- und Fisher-Graden.

Schlussfolgerung: Intraokularblutungen sind eine häufige, scheinbar jedoch wenig beachtete Komplikation von Subarachnoidalblutungen und korrelieren in prospektiven Studien mit höherer Mortalität und Morbidität. Eine routinemäßige Funduskopie der schwer beeinträchtigten Patienten sollte erwogen werden.

Abstract

Background: The aim of our study was to analyze the incidence and prognostic value of intraocular hemorrhages caused by subarachnoid hemorrhages.

Patients and Methods: Retrospective data analysis of all patients with subarachnoid hemorrhage admitted to the University Hospital Zurich between 2005 and 2010. All patients have been classified according to Glasgow Coma, Hunt and Hess, WFNS and Fisher Scales.

Results: Out of 391 patients only 26 have been examined by an ophthalmologist. 11/26 (42 %) showed Tersonʼs syndrome, compared to 11/391 (2.8 %) in the overall cohort. In patients with intraocular hemorrhages there was a trend for a lower GCS and higher Hunt and Hess, WFNS and Fisher scales.

Conclusion: Intraocular hemorrhages are a relatively frequent, seemingly neglected complication of subarachnoid hemorrhages, and correlate with a higher mortality and morbidity in prospective studies. Routine fundoscopy of heavily impaired patients should be considered.

Schlüsselwörter

Subarachnoidalblutung - Terson-Syndrom - intraokulare Blutung

Key words

subarachnoid hemorrhage - Tersonʼs syndrome - intraocular hemorrhage
 

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