Duhem-Tonnelle V, Duhem R, Mora A-R, Allaoui M, Assaker R
Clinique neurochirurgicale, hôpital Roger-Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France.
Neurochirurgie. 2008 Feb;54(1):28-31. doi: 10.1016/j.neuchi.2008.01.004. Epub 2008 Mar 4.
Orbital roof fractures after head injury is rare. Traumatic encephaloceles in the orbital cavity are even rarer, with only 24 cases published to date. We report the case of an adult with a post-traumatic orbital encephalocele. One day after a road traffic accident with head injury, the patient developed progressive pulsatile proptosis. Computed tomography and magnetic resonance imaging revealed an isolated blow-in fracture of the orbital roof with herniation of the left frontal lobe into the orbit. Neurosurgery to repair the orbital defect led to full recovery.
头部受伤后眶顶骨折较为罕见。眶腔内的创伤性脑膨出更为罕见，迄今为止仅有24例报道。我们报告一例成人创伤后眶脑膨出病例。该患者在头部受伤的道路交通事故发生一天后，出现进行性搏动性眼球突出。计算机断层扫描和磁共振成像显示眶顶孤立性内陷骨折，左额叶疝入眼眶。通过神经外科手术修复眼眶缺损后患者完全康复。
