Autor: |
L.A. Mesa Galán, M.A. Henríquez Recine, A. Robles Caballero, S. Yus Teruel, J.R. García Martínez, J.J. Egea-Guerrero, M. Quintana-Diaz |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
Neurología (English Edition), Vol 38, Iss 3, Pp 181-187 (2023) |
Druh dokumentu: |
article |
ISSN: |
2173-5808 |
DOI: |
10.1016/j.nrleng.2020.04.026 |
Popis: |
Introduction: Terson syndrome (TS) is defined as any intraocular haemorrhage identified in patients with acute intracranial pathology. TS appears to be associated with clinical severity in patients with subarachnoid haemorrhage (SAH), but the association is yet to be defined in patients with traumatic brain injury (TBI) and intracerebral haemorrhage (ICH). This study aimed to evaluate the diagnostic performance of ocular ultrasound (OU) and its usefulness in clinical practice. Material and methods: We performed an observational, prospective, single-centre study of neurocritical care patients. We analysed cases and controls, defined according to indirect ophthalmoscopy (IO) and OU findings. We determined the diagnostic characteristics of OU. A multivariate analysis was performed to identify clinically relevant associations. Results: The sample included 91 patients diagnosed with ICH (41.76%), SAH (29.67%), and TBI (28.57%). TS was identified by OU in 8 patients (8.79%) and by IO in 24 (24.37%). The adjusted mortality rate in patients with TS showed an odds ratio (OR) of 4.15 (95% confidence interval [CI], 1.52-11.33). All patients with TS detected by OU presented Glasgow Coma Scale scores |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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