Sarfraz Maryam, Mustansir Fatima, Khan Natasha, Darbar Aneela
Department of Surgery, The Aga Khan University, Karachi, Sindh, Pakistan.
Neuroophthalmology. 2019 Jun 19;44(5):339-343. doi: 10.1080/01658107.2019.1611881.
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.
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。