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婴儿外伤性骨折所致急性眼眶假性脑膜膨出

Acute Orbital Pseudomeningocele Due to Traumatic Fracture in an Infant.

作者信息

Sarfraz Maryam, Mustansir Fatima, Khan Natasha, Darbar Aneela

机构信息

Department of Surgery, The Aga Khan University, Karachi, Sindh, Pakistan.

出版信息

Neuroophthalmology. 2019 Jun 19;44(5):339-343. doi: 10.1080/01658107.2019.1611881.

Abstract

Paediatric orbital trauma is uncommon, but it can be associated with significant morbidity. Traumatic pseudomeningocele is an infrequent complication of orbital trauma; it occurs due to an extradural collection of cerebrospinal fluid (CSF) that develops after a dural tear. Herein, we report a case of a seven-month-old male child who presented with eye swelling and suspicion of orbital cellulitis, along with a history of a road traffic accident. He was later diagnosed with traumatic orbital pseudomeningocele and underwent a left frontal craniotomy and duroplasty along with repair of medial orbital pseudomeningocele. Postoperatively, the child remained stable and resolution of proptosis was observed.

摘要

小儿眼眶外伤并不常见,但可能伴有严重的发病情况。创伤性假性脑膜膨出是眼眶外伤的一种罕见并发症;它是由于硬脑膜撕裂后形成的硬膜外脑脊液(CSF)聚集所致。在此,我们报告一例7个月大的男童,他因眼部肿胀且怀疑患有眼眶蜂窝织炎就诊,并有道路交通事故史。他后来被诊断为创伤性眼眶假性脑膜膨出,并接受了左额开颅术、硬脑膜成形术以及眼眶内侧假性脑膜膨出修复术。术后,患儿情况稳定,眼球突出症状得到缓解。

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Eye in the brain.
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