Association of a Subperiosteal Hematoma With Minor Injury.
An intraorbitalsubperiosteal hematoma is a rare clinical entity that is usually caused by head trauma. The authors experienced a patient involving an intraorbital hemorrhage that was associated with minor injury in the forehead and that required surgical decompression. The authors describe this rare case involving an intraorbitalsubperiosteal hematoma that occurred in a conscious young boy who had no remarkable head injury and who had sudden onset of proptosis. Three-dimensional computed tomography, which was conducted with a volume-rendering method, was very useful, and the transorbital approach that was used to remove the hematoma was very effective. The patient showed good recovery. The pathogenesis of the intraorbitalsubperiosteal hemorrhage could not be fully explained, and, thus, the authors suggest that a possible pathogenesis involved the migration of the hemorrhage from the forehead into the intraorbital region.
*Department of Neurosurgery, Sapporo Medical University School of Medicine, Sapporo †Department of Neurosurgery, Obihiro Kosei Hospital, Obihiro, Japan.
Yukinori
Y
Akiyama
Masafumi
M
Ohtaki
Sangnyon
S
Kim
Yuusuke
Y
Kimura
Nobuhiro
N
Mikuni
D019299:Decompression, Surgical / Q000379:methods; D004322:Drainage / Q000379:methods; D005094:Exophthalmos / Q000209:etiology; D005133:Eye Movements / Q000502:physiology; D005546:Forehead / Q000473:pathology; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009916:Orbital Diseases / Q000209:etiology* / Q000601:surgery; D010521:Periosteum / Q000293:injuries*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014792:Visual Acuity / Q000502:physiology