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DOI: 10.1055/s-2008-1034959
© 1998 F. Enke Verlag Stuttgart
Akute präretinale Blutung vor den lebensbedrohlichen Komplikationen einer Subarachnoidalblutung
Acute preretinal hemorrhage as presenting clinical sign of eventually life-threatening subarachnoid hemorrhagePublication History
Manuskript erstmalig eingereicht am 17.12.1997
in der vorliegenden Form angenommen am 02.03.1998
Publication Date:
25 March 2008 (online)
Summary
Background To report on a patient with acute preretinal and intraretinal bleedings as first clinical signs of a life-threatening subarachnoid hemorrhage.
Patient A 36-year-old, so far healthy woman complained of decreased vision, which had started eight hours before. She presented herself in good general condition. Ophthalmoscopic evaluation showed intraretinal hemorrhages in both eyes and a preretinal hemorrhage in the left eye. During the examination, the patient fainted and suffered generalized seizure. Cranial computed tomography revealed a subarachnoid hemorrhage originating from an internal carotid artery aneurysm.
Conclusion Acute intraretinal and preretinal bleedings in apparently healthy patients can be precursors of eventually life-threatening complications of subarachnoid hemorrhages.
Key words
subarachnoid hemorrhage - ocular hemorrhage
Schlüsselwörter
Subarachnoidalblutung - okuläre Blutung