Husag L, Krauer W, Probst C
Schweiz Arch Neurol Neurochir Psychiatr. 1978;122(2):187-203.
A case of spontaneous intraorbital Haematoma is reported. A girl aged 13 years developed an acute unilateral Exophthalmos on the right side with disturbances of eye-motion, choked disc and nearly complete amaurosis within 3 days after onset. The etiology of the bleeding remains unknown. The diagnosis of orbital haematoma was made by the clinical picture and the computerized axial tomography (CAT) findings. Through a lateral orbitotomy was the extraperiorbital haematoma evacuated, with a complete recovery within two weeks. Twenty-two cases of the literature are reviewed. The possible aetiologic causes are discussed: haemorrhagic diatheses, arterial, vasomotoric and toxic diseases, the congestive and traumatic causes mentioned. The clinical picture and diagnositc procedures, especially the CAT, are reviewed. The surgical treatment with stress on the lateral orbitotomy is discussed.
报告了一例自发性眶内血肿病例。一名13岁女孩在发病后3天内出现右侧急性单侧眼球突出，伴有眼球运动障碍、视乳头水肿和几乎完全失明。出血的病因尚不清楚。根据临床表现和计算机断层扫描（CAT）结果诊断为眶内血肿。通过外侧眶切开术清除眶外血肿，两周内完全康复。回顾了文献中的22例病例。讨论了可能的病因：出血性素质、动脉性、血管运动性和中毒性疾病，以及提及的充血性和创伤性病因。回顾了临床表现和诊断程序，特别是CAT。讨论了以外侧眶切开术为重点的手术治疗。
