Skalka H W
Arch Ophthalmol. 1982 Mar;100(3):448-50. doi: 10.1001/archopht.1982.01030030450014.
A subdural hematoma extending into the orbit through a fracture of the sphenoid bone appeared as unilateral proptosis with no neurologic abnormalities. Repeated percutaneous needle aspirations of the orbital portion of this mass provided only temporary relief of proptosis, but decompressed the intracranial portion of the hematoma adequately for prevention of neurologic manifestations. Ultrasonography correctly diagnosed the nature of the lesion and identified the bony dehiscence. Computed tomographic (CT) evaluation suggesting that a tumor might be present led to the performance of curative neurosurgery. Even when seemingly trivial, head trauma must be considered along with congenital, developmental, and neoplastic causes as a potential cause of intracranial cyst formation that can produce proptosis.
一例通过蝶骨骨折延伸至眼眶的硬膜下血肿表现为单侧眼球突出，无神经功能异常。反复经皮穿刺抽吸该肿块眼眶部分仅能暂时缓解眼球突出，但能充分减压血肿的颅内部分以预防神经功能表现。超声检查正确诊断了病变性质并确定了骨质缺损。计算机断层扫描（CT）评估提示可能存在肿瘤，从而进行了根治性神经外科手术。即使看似轻微，头部外伤也必须与先天性、发育性和肿瘤性病因一并考虑，作为可导致眼球突出的颅内囊肿形成的潜在原因。
