Terson Syndrome: Not to Be Missed in Patients with Disorders of Consciousness.

Details

Serval ID
serval:BIB_415E5544040C
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Terson Syndrome: Not to Be Missed in Patients with Disorders of Consciousness.
Journal
Brain sciences
Author(s)
Maslias E., Vijiala S., Epiney J.B., Konstantinidis L., Kawasaki A., Diserens K.
ISSN
2076-3425 (Print)
ISSN-L
2076-3425
Publication state
Published
Issued date
29/05/2023
Peer-reviewed
Oui
Volume
13
Number
6
Pages
879
Language
english
Notes
Publication types: Case Reports
Publication Status: epublish
Abstract
The diagnosis of clinical cognitive motor dissociation ( <sup>c</sup> CMD) can be hindered by pitfalls during standardized clinical evaluation based on gold-standard neurobehavioral rating scales. We introduce here a new pitfall, by reporting two cases of Terson syndrome (TS) after subarachnoid haemorrhage (SAH) caused by the rupture of an anterior communicant artery aneurysm, hospitalized in the Acute Neurorehabilitation Unit (ANR) of CHUV. TS is reported to occur in 8-19.3% of patients suffering from SAH. It can lead to significant visual impairment and if unrecognized, may impair the patient's capacity to interact appropriately with the environment; it thus presents an important pitfall in recognizing clinical cognitive-motor dissociation ( <sup>c</sup> CMD) in patients with altered states of consciousness. An early ophthalmological exam should be considered in all patients with SAH and disorders of consciousness or visual complaints.
Keywords
Terson syndrome, clinical cognitive–motor dissociation, disorders of consciousness
Pubmed
Web of science
Open Access
Yes
Create date
29/06/2023 14:53
Last modification date
25/11/2023 7:09
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