[Post-traumatic exophthalmos caused by a subperiosteal hematoma of the orbit].
We report a case of a 27-year-old man who developed major exophthalmos associated with ophthalmoplegia occurring 48 hours after head trauma. CT scan showed an orbital roof fracture and a subperiosteal hematoma. Surgical evacuation of the hematoma and reconstruction of the orbital roof was performed via a frontal craniotomy. Two months later, the ophthalmologic examination was normal. We stress the importance of early diagnosis and prompt surgical treatment in such an unusual complication of head trauma.
Amlashi
S F A
SF
Service de Neurochirurgie, CHRU Pontchaillou, Rennes.
Riffaud
L
L
Guyomard
J-L
JL
Brassier
G
G
Morandi
X
X
D000328:Adult; D003399:Craniotomy; D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005130:Eye Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome