Terson syndrome with cranial nerve 3 palsy due to subarachnoid hemorrhage from arteriovenous malformation and aneurysmal rupture

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Identifier EEC-Terson with Third AVM Aneurysm
Title Terson syndrome with cranial nerve 3 palsy due to subarachnoid hemorrhage from arteriovenous malformation and aneurysmal rupture
Subject terson syndrome, vitreous hemorrhage, oculomotor palsy, cranial nerve 3 palsy, ptosis
Creator Joshua Levinson, MD, Emory Eye Center Atlanta, Georgia; Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine
Description A case of Terson syndrome due to AVM and posteral cerebral aneurysm. The patient developed a left CN3 palsy due to hematoma involving the left midbrain. Figure 1 : External photograph of right eye demonstrates blunted red reflex secondary to vitreous hemorrhage Figure 2 : External photograph of left eye demonstrates normal red reflex Figure 3 : Fundus photo of the left eye demonstrates diffuse preretinal and intraretinal hemorrhages as well as blurring of the optic disc margins Figure 4 : Fundus photograph of the right eye demonstrates an obscured view of the retina due to vitreous hemorrhage Figure 5 : External photograph demonstrates an abducted and depressed left eye with ptosis due to a left cranial nerve 3 palsy. The pupils are pharmacologically dilated. Figure 6 : Head CT without contrast demonstrates intraventricular blood and subarachnoid hemorrage. Figure 7 : Head CT without contrast demonstrates a hematoma extending into the left midbrain (explaining the left third nerve palsy). Figure 8 : CT-angiogram demonstrates left parieto-occipital arteriovenous malformation. Figure 9 : CTA demonstrates an elongated saccular aneurysm arising posteriorly and superiorly from the left P1 segment of the posterior cerebral artery
Contributor Primary Levinson, Joshua
Contributor Secondary Biousse, Valerie
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2014
Type Text
Format application/pdf
Rights Management Copyright 2014. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6f50kr5
Setname ehsl_novel_eec
Date Created 2014-11-03
Date Modified 2018-01-22
ID 177394
Reference URL https://collections.lib.utah.edu/ark:/87278/s6f50kr5
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