Kwon Jae-Hyun, Song Young-Jin, Choi Sun-Seob, Kim Ki-Uk
Department of Neurosurgery , College of Medicine, Dong-A University, Busan, Korea.
J Korean Neurosurg Soc. 2008 Sep;44(3):156-8. doi: 10.3340/jkns.2008.44.3.156. Epub 2008 Sep 30.
Intraorbital hemorrhage is a rare clinical condition caused by orbital trauma, surgery around the orbit, intraorbital vascular abnormalities, and neoplasm. It was reported to occur spontaneously without any known causes and in association with orbital pseudotumor in a very few cases. A 59-year-old, female patient admitted with sudden onset of severe exophthalmos and pain on the left eye. Orbital CT and MR imaging suggested hemorrhage in the upper part of retrobulbar area of the left orbit. Cerebral angiography was taken to rule out any possible vascular abnormalities. On the left carotid cerebral angiography, the run-off of the distal ophthalmic artery was not seen and the engorgement of the supraophthalmic artery was noted. Systemic administration of corticosteroid did not improve the clinical status and craniectomy was done and retrobulbar hematoma was removed, and the clinical symptoms and signs were improved. Authors report a case of spontaneous intraorbital hemorrhage with the clinical features similar to those of orbital pseudotumor, requiring surgical decompression.
眶内出血是一种罕见的临床病症，由眼眶外伤、眼眶周围手术、眶内血管异常和肿瘤引起。据报道，在极少数情况下，它可无任何已知原因自发发生，并与眼眶假瘤有关。一名59岁女性患者因左眼突然出现严重眼球突出和疼痛入院。眼眶CT和磁共振成像显示左眼眶球后区域上部出血。进行脑血管造影以排除任何可能的血管异常。在左侧颈动脉脑血管造影中，未见到眼动脉远端的血流，且注意到眶上动脉充血。全身应用皮质类固醇并未改善临床状况，于是进行了颅骨切除术并清除了球后血肿，临床症状和体征得到改善。作者报告了一例自发性眶内出血病例，其临床特征与眼眶假瘤相似，需要手术减压。
