TERSONS-SYNDROME IN SPONTANEOUS SUBARACHNOID HEMORRHAGE - A PROSPECTIVE-STUDY IN 60 CONSECUTIVE PATIENTS

Sixty consecutive patients with spontaneous subarachnoid hemorrhage (S AH) were prospectively studied by means of indirect funduscopy to addr ess the question of incidence and prognostic implications of Terson's syndrome (TS) after SAH. Terson's syndrome was diagnosed in 10 (16.7%) of 60 patients and was associated with subarachnoid rebleeding in sev en of 10. No correlation was found between anatomical localization of the ruptured aneurysm and TS laterality. Case fatality was nine (90%) of 10 in patients with TS compared to five (10%) of 50 in non-TS patie nts. It is concluded that TS is not infrequent (16.7%) in spontaneous SAH and has a poor prognosis, often heralding subarachnoid rebleeding.