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KMID : 1202320140070020136
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Brain & NeuroRehabilitation
2014 Volume.7 No. 2 p.136 ~ p.142
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Terson Syndrome after Subarachnoid Hemorrhage Occurred by Thrombolysis and Mechanical Thrombectomy to Treat Acute Ischemic Stroke - A Case Report -
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Byun Ha-Young
Jung Ho-Yeon
Choi Hye-Jung
Lee Joong-Hoon
Oh Min-Kyun
Yoon Chul-Ho
Shin Hee-Suk
Lee Eun-Shin
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Abstract
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Terson syndrome is a vitreous hemorrhage associated with subarachnoid hemorrhage. This can be caused by spontaneous, aneurysmal rupture or traumatic subarachnoid hemorrhage, but never has been reported as a consequence of hemorrhage due to thrombolysis and thrombectomy treatments of acute ischemic stroke patient. A 48-year-old man presented with left sided weakness was diagnosed as cerebral infarction on right middle cerebral artery territory due to complete occlusion of right distal internal carotid, middle cerebral, and anterior cerebral artery. He underwent thrombolysis and mechanical thrombectomy, and subarachnoid hemorrhage developed. Later, visual disturbance on right eye occurred so he was con-sulted to ophthalmology. Vitreous hemorrhage was found and surgery was recommended after two weeks of observation. After pars planar vitrectomy, visual acuity improved, along with functional ability. Therefore, possibilities of Terson syn-drome in patients with subarachnoid hemorrhage have to be kept in mind to improve not only visual acuity but also re-habilitation outcome.
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KEYWORD
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vitreous hemorrhage, stroke, subarachnoid hemorrhage
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