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Terson’s syndrome following a gunshot wound to the head
  1. James Bapty1,
  2. T Lupion Duran2,
  3. B Carra3,
  4. P R Maloney4 and
  5. A Gibson2
  1. 1 Department of Emergency Medicine, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
  2. 2 Department of Ophthalmology, James Cook University Hospital, Middlesbrough, UK
  3. 3 Department of Radiology, Wright-Patterson Air Force Base Medical Center, Wright-Patterson Air Force Base, Ohio, USA
  4. 4 Department of Neurosurgery, University of California San Francisco, San Francisco, California, USA
  1. Correspondence to Dr James Bapty; bapty.jb{at}gmail.com

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Terson’s syndrome (TS) is now defined as any kind of intraocular haemorrhage in patients suffering from subarachnoid haemorrhage (SAH), intracerebral haemorrhage or traumatic brain injury (TBI).1 We herein describe a case of vitreous haemorrhage (VH) following a gunshot wound (GSW) to the orbital roof as a novel example of TS.

A 31-year-old Afghan National Army man presented following a firefight where he sustained a GSW to the left eyebrow (Figure 1). He was conscious but exhibited mild disorientation following the injury, with a Glasgow Coma Scale score of 14. He was also aware of decreased vision in the left eye. Subsequently, he was evacuated to a role 3 medical facility at Bagram Airfield, where he underwent radiological examination …

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Footnotes

  • X @baptyjames

  • Contributors All authors contributed sufficiently to be listed as authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.