Yip Chee-Chew, McCulley Timothy J, Kersten Robert C, Kulwin Dwight R
Cincinnati Eye Institute and The University of Cincinnati College of Medicine, Department of Ophthalmology, Cincinnati, Ohio, U.S.A.
Ophthalmic Plast Reconstr Surg. 2003 Mar;19(2):154-5. doi: 10.1097/01.IOP.0000055828.10127.70.
We describe proptosis due to a subperiosteal orbital hematoma that originated from a subgaleal bleed caused by hair pulling. A 13-year-old boy presented with a one-week history of progressive proptosis after his older sister pulled his hair during an argument. Computerized tomography showed a subgaleal hematoma and a right superior subperiosteal orbital hematoma. Progressive proptosis and compressive optic neuropathy developed, necessitating surgical evacuation with a favorable outcome.Hair pulling can result in a subgaleal bleed with extension to the orbital subperiosteal space. When managing patients with a subgaleal hematoma, this vision-threatening complication should be considered and treated accordingly.
我们描述了一例因骨膜下眼眶血肿导致的眼球突出，该血肿起源于因拔头发引起的帽状腱膜下出血。一名13岁男孩在与姐姐争吵时被姐姐拔头发，之后出现了为期一周的进行性眼球突出。计算机断层扫描显示帽状腱膜下血肿和右侧眶骨膜上血肿。出现了进行性眼球突出和压迫性视神经病变，需要进行手术引流，结果良好。拔头发可导致帽状腱膜下出血并蔓延至眶骨膜下间隙。在处理帽状腱膜下血肿患者时，应考虑到这种威胁视力的并发症并相应进行治疗。
