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Terson’s syndrome
  1. Chiara Reale1,
  2. Amelia Brigandì1,
  3. Nicola Gorgoglione2,
  4. Angelina Laganà1,
  5. Paolo Girlanda1
  1. 1Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
  2. 2Division of Neurosurgery, Department of Biomedical and Dental Sciences and Morpho-Functional Imaging, University of Messina, Messina, Italy
  1. Correspondence to Dr Chiara Reale, Department of Clinical and Experimental Medicine, University of Messina, Messina 98125, Italy; chiara.reale.neu{at}gmail.com

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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. …

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