Racaru T, Nguyen-Khac M T, Scholtes F, Dubuisson A, Kaschten B, Martin D
Service de Neurochirurgie, CHU de Liège, Belgique.
Rev Med Liege. 2010 Feb;65(2):59-61.
Acute traumatic orbital encephalocele is a rare entity, with less than 25 cases reported. We hereby describe the first bilateral orbital encephalocele through a blow-in orbital fracture after a blunt cranial traumatism. Early treatment of the orbital traumatic encephalocele is necessary in order to avoid the increase of the intra orbital pressure that might damage the optic nerve. Repairing the orbital roof has to be performed in a rigid manner in order to avoid the transmission of the intracranial pressure variation to the orbit. In the present case, the reconstruction of orbital roof was performed using a subfrontal approach supported by a titanium mesh fixed with screws and a mixture of bone powder mixed and fibrin glue.
急性创伤性眶内脑膨出是一种罕见的病症，报告的病例少于25例。我们在此描述首例因钝性颅脑外伤后经眶内骨折导致的双侧眶内脑膨出。为避免可能损害视神经的眶内压力升高，早期治疗眶内创伤性脑膨出很有必要。修复眶顶必须采用坚固的方式，以避免颅内压力变化传递至眼眶。在本病例中，采用额下入路，用螺钉固定钛网并混合骨粉和纤维蛋白胶来进行眶顶重建。
