Angkasa Florencia, Mohammadi Leila, Taranath Deepa, Taranath Ajay, Brecht Marcus
Department of Perinatal Medicine, Flinders Medical Centre, South Australia, Australia.
Flinders University, South Australia, Australia.
AJP Rep. 2017 Apr;7(2):e138-e143. doi: 10.1055/s-0037-1603953. Epub 2017 Jun 30.
Proptosis in the neonatal period is relatively infrequent and has diverse underlying etiologies. One of the more common causes appears to be orbital subperiosteal hematoma. Early detection, differentiation from other causes, and regular follow-up are essential as loss of vision can occur. We describe two cases of neonatal proptosis caused by orbital subperiosteal hematoma highlighting different diagnostic and management approaches, and provide a summary of previously reported cases. Spontaneous resolution occurs in most cases; however, emergent surgical evacuation is warranted in cases of optic nerve compression. This is the first report to provide orbital ultrasound images of uncomplicated neonatal orbital subperiosteal hematoma. Orbital ultrasound followed by magnetic resonance imaging (MRI) is a valid nonradiation approach for assessing neonatal proptosis due to subperiosteal orbital hematoma.
新生儿期眼球突出相对少见，且病因多样。较常见的病因之一似乎是眶骨膜下血肿。由于可能会出现视力丧失，早期检测、与其他病因相鉴别以及定期随访至关重要。我们描述了两例由眶骨膜下血肿引起的新生儿眼球突出病例，突出了不同的诊断和管理方法，并对先前报道的病例进行了总结。大多数情况下血肿会自行消退；然而，视神经受压的病例需要紧急手术引流。这是第一份提供单纯性新生儿眶骨膜下血肿眼眶超声图像的报告。眼眶超声检查后再进行磁共振成像（MRI）是评估因眶骨膜下血肿导致的新生儿眼球突出的一种有效的非辐射方法。
