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因自我窒息导致的自发性单侧眶骨膜下血肿:单侧眼球突出的罕见原因

Spontaneous Unilateral Subperiosteal Hematoma in the Orbit due to Self-Induced Asphyxia: Unusual Cause of Unilateral Exophthalmos.

作者信息

Subiras Xavier, Koch Konrad R, Schrittenlocher Silvia, Cursiefen Claus, Heindl Ludwig M

机构信息

Department of Ophthalmology, University Hospital of Cologne, Cologne, Germany.

出版信息

Case Rep Ophthalmol. 2017 Apr 10;8(1):232-236. doi: 10.1159/000469701. eCollection 2017 Jan-Apr.

Abstract

BACKGROUND

To report an unusual case of subperiosteal bleeding of nontraumatic etiology.

CASE DESCRIPTION

A 48-year-old female presented with an acute protrusion of the left eye after nonaccomplished suicide by means of asphyxia using a cable around the neck. At the time of presentation, the MRI showed an orbital subperiosteal hematoma causing an exophthalmos. After conservative treatment, there was a complete remission of the lesion.

CONCLUSION

Nontraumatic subperiosteal bleedings without involvement of the intraocular structures and no vision-threatening intraorbital changes should be treated conservatively.

摘要

背景

报告一例非创伤性病因导致的骨膜下出血的罕见病例。

病例描述

一名48岁女性,试图通过用绳索绕颈窒息自杀未遂后,左眼急性突出。就诊时,磁共振成像(MRI)显示眼眶骨膜下血肿导致眼球突出。经过保守治疗,病变完全缓解。

结论

对于未累及眼内结构且无威胁视力的眶内改变的非创伤性骨膜下出血,应采取保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61dc/5422758/e5e7b386590c/cop-0008-0232-g01.jpg

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