title: [A Case of Subgaleal Hematoma with Exophthalmos and Diplopia].
abstract: A 9-year-old girl struck the left side of her head on a doorknob, after which she gradually developed swelling. She was treated conservatively at another hospital before being referred and admitted to our hospital 9 days after injury, with complaints of exophthalmos and diplopia. Computed tomography (CT) scanning and magnetic resonance imaging (MRI) revealed a subgaleal hematoma (SGH). We therefore attempted to treat the patient by aspiration of the hematoma via needle puncture through the skin, for which we wrapped an elastic band around the head while infusing a hemostatic agent. No vascular anomalies and no abnormal shunts were identified by angiography under general anesthesia 13 days after injury. The patient was treated surgically due to increased head swelling and deteriorated exophthalmos. The liquefied, dark-red SGH was aspirated via a few cm of skin and a galeal incision on the left side of her head. A multiperforated drainage catheter was introduced into the hematoma cavity and the drainage catheter was connected to the vacuum-drain pump. After the surgery, the left exophthalmos disappeared. Twenty-three days after injury, she was discharged from our hospital without any neurological deficits.
authors.affiliation: Department of Neurosurgery, Saitama Citizens Medical Center.
authors.forename: Issei
authors.initials: I
authors.lastname: Takano
authors.forename: Kensuke
authors.initials: K
authors.lastname: Suzuki
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sugiura
authors.forename: Ryotaro
authors.initials: R
authors.lastname: Suzuki
authors.forename: Masaya
authors.initials: M
authors.lastname: Nagaishi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Akio
authors.initials: A
authors.lastname: Hyodo
mesh_terms: D002648:Child; D004172:Diplopia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage / Q000379:methods; D005094:Exophthalmos / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D064847:Multimodal Imaging; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome