Aoki H, Tanaka Y, Niki Y, Kamada K, Fujita T
Department of Neurosurgery, Nara Prefectural Gojo Hospital, Japan.
Neurol Med Chir (Tokyo). 1997 Aug;37(8):627-9. doi: 10.2176/nmc.37.627.
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.
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。
