TY - JOUR
T1 - Bilateral retinal hemorrhage after endoscopic third ventriculostomy
T2 - iatrogenic Terson syndrome
AU - Hoving, Eelco W
AU - Rahmani, Mehrnoush
AU - Los, Leonie I
AU - Renardel de Lavalette, Victor W
PY - 2009/5
Y1 - 2009/5
N2 - A serious ophthalmological complication of an endoscopic third ventriculostomy that created an iatrogenic Terson syndrome is described. A patient with an obstructive hydrocephalus was treated endoscopically, but due to the inadvertent use of a pressure bag during rinsing, in combination with a blocked outflow channel, a steep rise in intracranial pressure occurred. Postoperatively the patient experienced disturbed vision caused by bilateral retinal hemorrhages, and an iatrogenic Terson syndrome was diagnosed. The pathogenesis of Terson syndrome is discussed based on this illustrative case.
AB - A serious ophthalmological complication of an endoscopic third ventriculostomy that created an iatrogenic Terson syndrome is described. A patient with an obstructive hydrocephalus was treated endoscopically, but due to the inadvertent use of a pressure bag during rinsing, in combination with a blocked outflow channel, a steep rise in intracranial pressure occurred. Postoperatively the patient experienced disturbed vision caused by bilateral retinal hemorrhages, and an iatrogenic Terson syndrome was diagnosed. The pathogenesis of Terson syndrome is discussed based on this illustrative case.
KW - Adult
KW - Female
KW - Humans
KW - Hydrocephalus/surgery
KW - Iatrogenic Disease
KW - Magnetic Resonance Imaging
KW - Neuroendoscopy/adverse effects
KW - Retinal Hemorrhage/etiology
KW - Ventriculostomy/adverse effects
KW - Vision Disorders/etiology
U2 - 10.3171/2008.6.17610
DO - 10.3171/2008.6.17610
M3 - Article
C2 - 19012481
SN - 0022-3085
VL - 110
SP - 858
EP - 860
JO - Journal of Neurosurgery
JF - Journal of Neurosurgery
IS - 5
ER -