ABSTRACT
BACKGROUND: The aim of our study was to analyze the incidence and prognostic value of intraocular hemorrhages caused by subarachnoid hemorrhages. PATIENTS AND METHODS: Retrospective data analysis of all patients with subarachnoid hemorrhage admitted to the University Hospital Zurich between 2005 and 2010. All patients have been classified according to Glasgow Coma, Hunt and Hess, WFNS and Fisher Scales. RESULTS: Out of 391 patients only 26 have been examined by an ophthalmologist. 11/26 (42%) showed Terson's syndrome, compared to 11/391 (2.8%) in the overall cohort. In patients with intraocular hemorrhages there was a trend for a lower GCS and higher Hunt and Hess, WFNS and Fisher scales. CONCLUSION: Intraocular hemorrhages are a relatively frequent, seemingly neglected complication of subarachnoid hemorrhages, and correlate with a higher mortality and morbidity in prospective studies. Routine fundoscopy of heavily impaired patients should be considered.
Subject(s)
Neglected Diseases/diagnosis , Neglected Diseases/mortality , Subarachnoid Hemorrhage/diagnosis , Subarachnoid Hemorrhage/mortality , Vitreous Hemorrhage/diagnosis , Vitreous Hemorrhage/mortality , Comorbidity , Female , Humans , Male , Middle Aged , Prevalence , Risk Assessment , Survival Rate , Switzerland/epidemiology , SyndromeABSTRACT
Vertebral hemangioma, although a benign lesion, can result in neurologic deficit. Computed tomography is useful in demonstrating the extension of the hemangioma into the posterior neural arch and epidural space. Computed tomography after intravenous contrast administration is useful in evaluating the vascular nature of the lesion and is a useful technique before surgery or spinal angiography.