Abstract

This case report details a rare presentation of Terson Syndrome in a 37-year-old Malay woman with a history of idiopathic thrombocytopenic purpura (ITP). The patient exhibited symptoms including blurred vision, diplopia, persistent headaches, and severe thrombocytopenia. Neuro-ophthalmological examination confirmed bilateral papilledema and hemorrhages, while imaging revealed bilateral subdural hemorrhages and hydrocephalus. Management involved conservative treatment with corticosteroids and thrombopoietin receptor agonists, leading to gradual improvement in platelet count and stabilization of the subdural hemorrhages. This case underscores the diagnostic challenges and therapeutic strategies required in managing Terson Syndrome associated with ITP, highlighting the critical need for multidisciplinary care and vigilant monitoring to prevent severe complications.