Compaoré P, Ibahioin K, Naja A, Ouboukhlik A, El Kamar A, El Azhari A
Service de neurochirurgie, CHU Ibn-Rochd, quartier des hôpitaux, aile 6, 20100 Casablanca, Maroc.
Neurochirurgie. 2011 Jul;57(3):121-4. doi: 10.1016/j.neuchi.2011.07.003. Epub 2011 Sep 6.
Subperiotal hematoma of the orbit associated with extradural hematoma has been rarely reported in the literature. We report a case of an 8-year-old girl who presented after traumatism, a subperiotal hematoma of the orbit with two extradural hematomas. During the first clinical examination realized while the patient was unconscious, left exophthalmia was found, but after conscious improvement, we discovered ophtalmoplegia and a grade I papilla edema. The CT scan showed two extradural hematomas and a left intraorbital hematoma. The intraorbital hematoma was drained by surgical way but the extradural hematomas were not surgical. The outcome has been marked by the neurological improvement and the oculomotricity recovering.
眶周骨膜下血肿合并硬膜外血肿在文献中鲜有报道。我们报告一例8岁女孩,因外伤后出现眶周骨膜下血肿及两处硬膜外血肿。在患者昏迷时进行首次临床检查时发现左眼眼球突出,但意识好转后,我们发现眼球运动麻痹和I级视乳头水肿。CT扫描显示两处硬膜外血肿和左侧眶内血肿。眶内血肿通过手术引流,但硬膜外血肿未进行手术治疗。结果显示神经功能改善,眼球运动功能恢复。