O'Neill O R, Delashaw J B, Phillips J P
Division of Neurosurgery, Oregon Health Sciences University, Portland 97201.
Surg Neurol. 1994 Oct;42(4):308-11. doi: 10.1016/0090-3019(94)90398-0.
A patient admitted to hospital with a painful proptosis, diminished visual acuity, and mental status changes was proven to have a large left subfrontal epidural hematoma and an associated subperiosteal orbital hematoma. Surgical intervention resulted in complete recovery of neurologic function and visual acuity. This case demonstrates the unique and previously unreported concurrent diagnosis of epidural and subperiosteal orbital hematoma. The literature is reviewed and surgical management is discussed.
一名因疼痛性眼球突出、视力下降和精神状态改变入院的患者被证实患有巨大的左侧额下硬膜外血肿及相关的骨膜下眼眶血肿。手术干预使神经功能和视力完全恢复。该病例展示了硬膜外血肿和骨膜下眼眶血肿这种独特且此前未报道过的并发诊断情况。本文对相关文献进行了综述并讨论了手术治疗方法。