Proptosis presenting as a delayed sign of frontal extradural haematoma.
We report a case of a young man who presented with proptosis as a delayed manifestation of a frontal extradural haematoma (EDH) following a minor head injury. A computed tomography (CT) of the brain done 72 hours after trauma revealed a large extradural haematoma in the right anterior cranial fossa with orbital roof fracture and subperiosteal clot extension into the orbital cavity. Right frontal craniotomy with evacuation of haematoma was done and the proptosis completely resolved after surgery. The clinical course, possible mechanism and management of the patient are discussed.
Saiful
M N
MN
Department of Neurosurgery, Kuala Lumpur Hospital, 50586 Jalan Pahang, Kuala Lumpur.
Azmi
A
A
Saffari
M H
MH
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D006259:Craniocerebral Trauma / Q000150:complications; D005094:Exophthalmos / Q000209:etiology*; D006407:Hematoma, Epidural, Cranial / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed