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鼻旁窦黏液囊肿导致眶内骨膜下血肿——病例报告

Intraorbital subperiosteal hematoma due to paranasal mucocele--case report.

作者信息

Aoki H, Tanaka Y, Niki Y, Kamada K, Fujita T

机构信息

Department of Neurosurgery, Nara Prefectural Gojo Hospital, Japan.

出版信息

Neurol Med Chir (Tokyo). 1997 Aug;37(8):627-9. doi: 10.2176/nmc.37.627.

Abstract

A 68-year-old female was admitted with a rare intraorbital subperiosteal hematoma manifesting as sudden orbital pain, progressive blepharoptosis, and diplopia. Computed tomography showed a biconvex high density mass in the superomedial part of the left orbit, which was recognized to be a subperiosteal hematoma intraoperatively. The eroded orbital roof between the frontal sinus and orbit was a result of mechanical compression by the mucocele. Infection extending into the orbit was important in causing the hemorrhage.

摘要

一名68岁女性因罕见的眶内骨膜下血肿入院,表现为突发眼眶疼痛、进行性上睑下垂和复视。计算机断层扫描显示左眼眶内上部分有一个双凸高密度肿块,术中确诊为骨膜下血肿。额窦与眼眶之间的眶顶骨质侵蚀是黏液囊肿机械压迫的结果。感染蔓延至眼眶在引起出血方面起重要作用。

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