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Jan Regelsberger - One of the best experts on this subject based on the ideXlab platform.

  • Terson Syndrome in subarachnoid hemorrhage intracerebral hemorrhage and traumatic brain injury
    Neurosurgical Review, 2015
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p < 0.001), and high Fisher grade (p = 0.002) were found to be associated with a higher incidence of Terson Syndrome. The neurological outcome in subarachnoid hemorrhage patients suffering from Terson Syndrome was worse compared with that of subarachnoid hemorrhage patients without Terson Syndrome (p = 0.005), and vitrectomy was performed in seven eyes of six patients due to poor visual acuity. Terson Syndrome is underestimated in patients with subarachnoid hemorrhage and a rare pathology in intracerebral hemorrhage as well as in traumatic brain injury patients. Spontaneous regression of the intraocular hemorrhage may be seen, but in half of the patients, vitrectomy is necessary to prevent permanent visual deterioration.

  • Terson Syndrome in subarachnoid hemorrhage, intracerebral hemorrhage, and traumatic brain injury
    Neurosurgical Review, 2014
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p 

Patrick Czorlich - One of the best experts on this subject based on the ideXlab platform.

  • Terson Syndrome in subarachnoid hemorrhage intracerebral hemorrhage and traumatic brain injury
    Neurosurgical Review, 2015
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p < 0.001), and high Fisher grade (p = 0.002) were found to be associated with a higher incidence of Terson Syndrome. The neurological outcome in subarachnoid hemorrhage patients suffering from Terson Syndrome was worse compared with that of subarachnoid hemorrhage patients without Terson Syndrome (p = 0.005), and vitrectomy was performed in seven eyes of six patients due to poor visual acuity. Terson Syndrome is underestimated in patients with subarachnoid hemorrhage and a rare pathology in intracerebral hemorrhage as well as in traumatic brain injury patients. Spontaneous regression of the intraocular hemorrhage may be seen, but in half of the patients, vitrectomy is necessary to prevent permanent visual deterioration.

  • Terson Syndrome in subarachnoid hemorrhage, intracerebral hemorrhage, and traumatic brain injury
    Neurosurgical Review, 2014
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p 

Andre Y Denault - One of the best experts on this subject based on the ideXlab platform.

  • point of care handheld ophthalmic ultrasound in the diagnosis and evaluation of raised intracranial pressure and Terson Syndrome a description of two cases
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2020
    Co-Authors: Jennifer Palermo, Michel W Bojanowski, Stephan Langevin, Andre Y Denault
    Abstract:

    BACKGROUND: Ultrasound (US) examination of the eye can be used to detect and monitor elevated intracranial pressure (ICP) and its consequences. Elevated ICP is transmitted to the contiguous optic nerve and its sheath (dura mater), thus underlying the development of papilledema and a widened sheath diameter. The US measurement of the optic nerve sheath diameter (ONSD) has previously been validated to diagnose and monitor raised ICP. The occurrence of vitreous hemorrhage in association with subarachnoid hemorrhage (SAH)-i.e., Terson Syndrome-can also be easily diagnosed using ophthalmic US. Because of its relevance in anesthesia and critical care, we describe how to perform the technique illustrated by two cases. CASE PRESENTATIONS: A 72-yr-old man with hydrocephalus secondary to a SAH developed raised ICP following the removal of an external ventricular drainage (EVD) system. Daily ONSD measurements using handheld US allowed us to diagnose and monitor the progression and resolution of the intracranial hypertension following the placement of a second EVD system. We also describe the steps used to obtain ONSD measurements during the ophthalmic US examination of a 53-yr-old woman who presented with a stage IV SAH with concomitant bilateral vitreous hemorrhages or Terson Syndrome. CONCLUSION: Ophthalmic US using a handheld device to measure and monitor ONSD at the bedside is useful in diagnosing and monitoring the progression of intracranial hypertension following EVD removal in a patient with hydrocephalus secondary to SAH. Ophthalmic US can also be used to identify concomitant vitreous hemorrhage that is associated with a worse prognosis.

  • point of care handheld ophthalmic ultrasound in the diagnosis and evaluation of raised intracranial pressure and Terson Syndrome a description of two cases
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2020
    Co-Authors: Jennifer Palermo, Michel W Bojanowski, Stephan Langevin, Andre Y Denault
    Abstract:

    Ultrasound (US) examination of the eye can be used to detect and monitor elevated intracranial pressure (ICP) and its consequences. Elevated ICP is transmitted to the contiguous optic nerve and its sheath (dura mater), thus underlying the development of papilledema and a widened sheath diameter. The US measurement of the optic nerve sheath diameter (ONSD) has previously been validated to diagnose and monitor raised ICP. The occurrence of vitreous hemorrhage in association with subarachnoid hemorrhage (SAH)—i.e., Terson Syndrome—can also be easily diagnosed using ophthalmic US. Because of its relevance in anesthesia and critical care, we describe how to perform the technique illustrated by two cases. A 72-yr-old man with hydrocephalus secondary to a SAH developed raised ICP following the removal of an external ventricular drainage (EVD) system. Daily ONSD measurements using handheld US allowed us to diagnose and monitor the progression and resolution of the intracranial hypertension following the placement of a second EVD system. We also describe the steps used to obtain ONSD measurements during the ophthalmic US examination of a 53-yr-old woman who presented with a stage IV SAH with concomitant bilateral vitreous hemorrhages or Terson Syndrome. Ophthalmic US using a handheld device to measure and monitor ONSD at the bedside is useful in diagnosing and monitoring the progression of intracranial hypertension following EVD removal in a patient with hydrocephalus secondary to SAH. Ophthalmic US can also be used to identify concomitant vitreous hemorrhage that is associated with a worse prognosis.

  • Point-of-care handheld ophthalmic ultrasound in the diagnosis and evaluation of raised intracranial pressure and Terson Syndrome: a description of two cases
    Canadian Journal of Anesthesia Journal canadien d'anesthésie, 2020
    Co-Authors: Jennifer Palermo, Michel W Bojanowski, Stephan Langevin, Andre Y Denault
    Abstract:

    Background Ultrasound (US) examination of the eye can be used to detect and monitor elevated intracranial pressure (ICP) and its consequences. Elevated ICP is transmitted to the contiguous optic nerve and its sheath (dura mater), thus underlying the development of papilledema and a widened sheath diameter. The US measurement of the optic nerve sheath diameter (ONSD) has previously been validated to diagnose and monitor raised ICP. The occurrence of vitreous hemorrhage in association with subarachnoid hemorrhage (SAH)—i.e., Terson Syndrome—can also be easily diagnosed using ophthalmic US. Because of its relevance in anesthesia and critical care, we describe how to perform the technique illustrated by two cases. Case presentations A 72-yr-old man with hydrocephalus secondary to a SAH developed raised ICP following the removal of an external ventricular drainage (EVD) system. Daily ONSD measurements using handheld US allowed us to diagnose and monitor the progression and resolution of the intracranial hypertension following the placement of a second EVD system. We also describe the steps used to obtain ONSD measurements during the ophthalmic US examination of a 53-yr-old woman who presented with a stage IV SAH with concomitant bilateral vitreous hemorrhages or Terson Syndrome. Conclusion Ophthalmic US using a handheld device to measure and monitor ONSD at the bedside is useful in diagnosing and monitoring the progression of intracranial hypertension following EVD removal in a patient with hydrocephalus secondary to SAH. Ophthalmic US can also be used to identify concomitant vitreous hemorrhage that is associated with a worse prognosis. Contexte L’examen échographique (EG) de l’œil peut être utilisé pour dépister et surveiller une pression intracrânienne (PIC) élevée et ses conséquences. Une PIC élevée est transmise au nerf optique et à sa gaine (dure-mère), et cause l’apparition d’un œdème papillaire et d’un diamètre agrandi de la gaine. La mesure par EG du diamètre de la gaine du nerf optique (DGNO) a précédemment été validée comme outil pour diagnostiquer et monitorer une PIC élevée. La survenue d’une hémorragie vitréenne en association à une hémorragie sous-arachnoïdienne (HSA) – c’est-à-dire, le Syndrome de Terson – peut également être aisément diagnostiquée à l’aide de l’échographie ophtalmologique. En raison de sa pertinence pour les soins anesthésiques et critiques, nous décrivons la façon de réaliser cette technique telle qu’illustrée par deux cas. Présentations des cas Une PIC élevée est apparue chez un homme de 72 ans atteint d’hydrocéphalie secondaire à une HSA suite au retrait d’une dérivation ventriculaire externe (DVE). Des mesures quotidiennes du DGNO prises à l’aide d’un appareil portable d’échographie nous ont permis de diagnostiquer et monitorer la progression et la résolution de la pression intracrânienne suite à la mise en place d’une deuxième DVE. Nous décrivons également les étapes utilisées afin d’obtenir des mesures du DGNO pendant l’examen échographique ophtalmologique d’une femme de 53 ans avec une HSA de stade IV avec hémorragies vitréennes bilatérales concomitantes ou Syndrome de Terson. Conclusion L’échographie ophtalmologique à l’aide d’un dispositif portable utilisé pour mesurer et surveiller le DGNO au chevet peut servir à diagnostiquer et surveiller la progression d’une hypertension intracrânienne suite au retrait d’un dispositif de DVE chez un patient souffrant d’hydrocéphalie secondaire à une HSA. L’échographie ophtalmologique peut également être utilisée pour identifier une hémorragie vitréenne concomitante, une condition associée à de moins bons devenirs.

Christos Skevas - One of the best experts on this subject based on the ideXlab platform.

  • Terson Syndrome in subarachnoid hemorrhage intracerebral hemorrhage and traumatic brain injury
    Neurosurgical Review, 2015
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p < 0.001), and high Fisher grade (p = 0.002) were found to be associated with a higher incidence of Terson Syndrome. The neurological outcome in subarachnoid hemorrhage patients suffering from Terson Syndrome was worse compared with that of subarachnoid hemorrhage patients without Terson Syndrome (p = 0.005), and vitrectomy was performed in seven eyes of six patients due to poor visual acuity. Terson Syndrome is underestimated in patients with subarachnoid hemorrhage and a rare pathology in intracerebral hemorrhage as well as in traumatic brain injury patients. Spontaneous regression of the intraocular hemorrhage may be seen, but in half of the patients, vitrectomy is necessary to prevent permanent visual deterioration.

  • Terson Syndrome in subarachnoid hemorrhage, intracerebral hemorrhage, and traumatic brain injury
    Neurosurgical Review, 2014
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p 

Manfred Westphal - One of the best experts on this subject based on the ideXlab platform.

  • Terson Syndrome in subarachnoid hemorrhage intracerebral hemorrhage and traumatic brain injury
    Neurosurgical Review, 2015
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p < 0.001), and high Fisher grade (p = 0.002) were found to be associated with a higher incidence of Terson Syndrome. The neurological outcome in subarachnoid hemorrhage patients suffering from Terson Syndrome was worse compared with that of subarachnoid hemorrhage patients without Terson Syndrome (p = 0.005), and vitrectomy was performed in seven eyes of six patients due to poor visual acuity. Terson Syndrome is underestimated in patients with subarachnoid hemorrhage and a rare pathology in intracerebral hemorrhage as well as in traumatic brain injury patients. Spontaneous regression of the intraocular hemorrhage may be seen, but in half of the patients, vitrectomy is necessary to prevent permanent visual deterioration.

  • Terson Syndrome in subarachnoid hemorrhage, intracerebral hemorrhage, and traumatic brain injury
    Neurosurgical Review, 2014
    Co-Authors: Patrick Czorlich, Christos Skevas, Volker Knospe, Eik Vettorazzi, G Richard, Lars Wagenfeld, Manfred Westphal, Jan Regelsberger
    Abstract:

    This prospective trial was designed to evaluate the incidence of Terson Syndrome in patients suffering from subarachnoid hemorrhage, intracerebral hemorrhage, or traumatic brain injury and whether consequences necessarily derive from the intraocular hemorrhage itself. Two ophthalmologic examinations were performed to identify patients with Terson Syndrome. Data on initial Glasgow Coma Scale, Hunt and Hess and Fisher grades, aneurysm site and diameter, and volume of hemorrhage in intracerebral hemorrhage patients were correlated to the location and course of Terson Syndrome. Follow-up was performed after 3 months, including clinical and ophthalmologic investigations. The data showed that 16 of 83 subarachnoid hemorrhage patients (19.3 %), 2 of 22 intracerebral hemorrhage patients (9.1 %), and 1 of 32 traumatic brain injury patients (3.1 %) suffered from Terson Syndrome. Low Glasgow Coma Scale (p = 0.002), high Hunt and Hess grade (p