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- Terson's syndrome
- aneurysmal subarachnoid haemorrhage
- visual loss
- cerebrovascular disease
- subarachnoid haemorrhage
A 49-year-old woman presented with an acute intense headache with nausea and vomiting, followed by loss of consciousness. CT scan of head showed diffuse subarachnoid haemorrhage involving the interpeduncular cistern from rupture of a right internal carotid artery aneurysm, which was successfully treated by coil embolisation. On waking in intensive care unit, she reported bilateral central visual loss due to red scotomas. She had reduced visual acuity and unsteady gait. Her visual impairment deteriorated over a few days such that she could only see lights in central visual field and blurred outlines in the peripheral fields. Funduscopy showed vitreous haemorrhage. …
Contributors CR, AB, NG and AL wrote the article. CR obtained consent from the patient. PG oversaw the paper and added any corrections.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally reviewed by Sui Wong, London UK.