Saiful M N, Azmi A, Saffari M H
Department of Neurosurgery, Kuala Lumpur Hospital, 50586 Jalan Pahang, Kuala Lumpur.
Med J Malaysia. 2007 Jun;62(2):156-7.
We report a case of a young man who presented with proptosis as a delayed manifestation of a frontal extradural haematoma (EDH) following a minor head injury. A computed tomography (CT) of the brain done 72 hours after trauma revealed a large extradural haematoma in the right anterior cranial fossa with orbital roof fracture and subperiosteal clot extension into the orbital cavity. Right frontal craniotomy with evacuation of haematoma was done and the proptosis completely resolved after surgery. The clinical course, possible mechanism and management of the patient are discussed.
我们报告一例年轻男性病例,其在轻度头部损伤后出现眼球突出,这是额部硬膜外血肿(EDH)的延迟表现。外伤后72小时进行的脑部计算机断层扫描(CT)显示,右侧前颅窝有一个巨大的硬膜外血肿,伴有眶顶骨折,骨膜下血凝块延伸至眶腔。进行了右侧额部开颅血肿清除术,术后眼球突出完全消退。本文讨论了该患者的临床病程、可能的机制及治疗方法。