Orbital compression syndrome complicated by epidural hematoma and wide cephalohematoma in a patient with sickle cell disease.
Orbital wall infarctions resulting in orbital and epidural hematomas are rare manifestations of sickle cell disease (SCD). We report orbital compression syndrome associated with an epidural hematoma and wide cephalohematoma in a 15-year-old boy with SCD. An infarcted orbital bone was observed on magnetic resonance imaging and three-phase bone scintigraphy with Technetium-99m methylene diphosphonate. The patient recovered completely without surgical intervention at the end of the fourth week. Prompt diagnosis and proper management are critical for complete recovery.
Department of Ophthalmology, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey. Electronic address: niluferilhan@gmail.com.
Nilufer
N
Ilhan
Department of Pediatric Hematology, Antakya State Hospital, Antakya, Turkey.
Can
C
Acipayam
Department of Nuclear Medicine, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey.
Fusun
F
Aydogan
Department of Radiology, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey.
Nesrin
N
Atci
Department of Ophthalmology, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey.
Ozgur
O
Ilhan
Department of Ophthalmology, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey.
Mesut
M
Coskun
Department of Ophthalmology, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey.
Mutlu Cihan
MC
Daglioglu
Department of Ophthalmology, Mustafa Kemal University Faculty of Medicine, Antakya, Turkey.
Esra Ayhan
EA
Tuzcu
D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000175:diagnosis; D001853:Bone Marrow / Q000000981:diagnostic imaging; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007238:Infarction / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate; D014057:Tomography, X-Ray Computed
D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate