Soares Andreia, Almeida Cristina, Freitas Cristina, Sales-Sanz Marco, Ribeiro Sara
Hospital de Braga, School of Medicine, University of Minho, Braga, Portugal.
Ophthalmology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Case Rep Ophthalmol Med. 2017;2017:9193706. doi: 10.1155/2017/9193706. Epub 2017 Aug 7.
We report a 48-year-old female patient who presented to the emergency room with right eyelid edema, with 3 days of evolution. She had suffered minor trauma to this eye one week before. She reported episodes of right eyelid swelling of spontaneous resolution since the occurrence of a traumatic brain injury 5 years ago. Ophthalmological examination showed a soft and painless eyelid edema of the right eye. Brain computed tomography showed an area of bone discontinuity of the orbital roof with brain herniation and a CSF leak into the eyelid (blepharocele). Magnetic resonance confirmed the result of TC and revealed an area of frontal encephalomalacia. Ibuprofen (800 mg/day) was prescribed, with complete resolution within 20 days. She was evaluated by Neurosurgery with no indication of surgery due to the resolution of the edema and absence of symptoms. Blepharocele is a rare entity that should be considered in the differential diagnosis of unilateral eyelid edema. It can be secondary to an orbital fracture or congenital lesion.
我们报告了一名48岁的女性患者，她因右眼睑水肿到急诊室就诊，病程已3天。一周前她的这只眼睛受过轻微外伤。她自述自5年前发生创伤性脑损伤以来，右眼眼睑曾多次出现自发消退的肿胀发作。眼科检查显示右眼眼睑柔软且无痛性水肿。脑部计算机断层扫描显示眶顶有骨质连续性中断区域，伴有脑疝形成及脑脊液漏入眼睑（睑裂部脑膨出）。磁共振成像证实了CT的结果，并显示额叶脑软化区域。给予布洛芬（800毫克/天）治疗，20天内完全消退。由于水肿消退且无症状，神经外科对其进行了评估，未建议手术。睑裂部脑膨出是一种罕见的病症，在单侧眼睑水肿的鉴别诊断中应予以考虑。它可能继发于眼眶骨折或先天性病变。
