[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.
Service de Neurochirurgie, CHRU Pontchaillou, Rennes.
S F A
SF
Amlashi
L
L
Riffaud
J-L
JL
Guyomard
G
G
Brassier
X
X
Morandi
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