Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report

Detalhes bibliográficos
Autor(a) principal: Procianoy,Fernando
Data de Publicação: 2008
Outros Autores: Brandão Filho,Mauro, Cruz,Antonio Augusto Velasco e, Alencar,Victor Marques
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492008000200024
Resumo: We report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, hyperemia or tenderness. Computed tomography of the orbits showed a large superomedial subperiosteal hematoma in the left orbit. The patient was treated with canthotomy, cantholysis and surgical draining of the hematoma. Two days after drainage she persisted with a subperiosteal hematoma and low visual acuity. A wide exploration of the orbital roof through a lid crease approach disclosed a thickened superior orbital rim with multiple bone defects along the roof and with continuous bleeding. Hemostasis was accomplished with bone wax. Orbital compression was resolved and the patient recovered her previous normal visual acuity.
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spelling Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case reportHematoma/etiologyCraniocerebral trauma/complicationsOrbit/surgeryAnemia, sickle-cellOptic nerve injuriesFrontal boneCase reportsWe report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, hyperemia or tenderness. Computed tomography of the orbits showed a large superomedial subperiosteal hematoma in the left orbit. The patient was treated with canthotomy, cantholysis and surgical draining of the hematoma. Two days after drainage she persisted with a subperiosteal hematoma and low visual acuity. A wide exploration of the orbital roof through a lid crease approach disclosed a thickened superior orbital rim with multiple bone defects along the roof and with continuous bleeding. Hemostasis was accomplished with bone wax. Orbital compression was resolved and the patient recovered her previous normal visual acuity.Conselho Brasileiro de Oftalmologia2008-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492008000200024Arquivos Brasileiros de Oftalmologia v.71 n.2 2008reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492008000200024info:eu-repo/semantics/openAccessProcianoy,FernandoBrandão Filho,MauroCruz,Antonio Augusto Velasco eAlencar,Victor Marqueseng2008-05-26T00:00:00Zoai:scielo:S0004-27492008000200024Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2008-05-26T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
title Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
spellingShingle Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
Procianoy,Fernando
Hematoma/etiology
Craniocerebral trauma/complications
Orbit/surgery
Anemia, sickle-cell
Optic nerve injuries
Frontal bone
Case reports
title_short Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
title_full Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
title_fullStr Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
title_full_unstemmed Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
title_sort Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report
author Procianoy,Fernando
author_facet Procianoy,Fernando
Brandão Filho,Mauro
Cruz,Antonio Augusto Velasco e
Alencar,Victor Marques
author_role author
author2 Brandão Filho,Mauro
Cruz,Antonio Augusto Velasco e
Alencar,Victor Marques
author2_role author
author
author
dc.contributor.author.fl_str_mv Procianoy,Fernando
Brandão Filho,Mauro
Cruz,Antonio Augusto Velasco e
Alencar,Victor Marques
dc.subject.por.fl_str_mv Hematoma/etiology
Craniocerebral trauma/complications
Orbit/surgery
Anemia, sickle-cell
Optic nerve injuries
Frontal bone
Case reports
topic Hematoma/etiology
Craniocerebral trauma/complications
Orbit/surgery
Anemia, sickle-cell
Optic nerve injuries
Frontal bone
Case reports
description We report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, hyperemia or tenderness. Computed tomography of the orbits showed a large superomedial subperiosteal hematoma in the left orbit. The patient was treated with canthotomy, cantholysis and surgical draining of the hematoma. Two days after drainage she persisted with a subperiosteal hematoma and low visual acuity. A wide exploration of the orbital roof through a lid crease approach disclosed a thickened superior orbital rim with multiple bone defects along the roof and with continuous bleeding. Hemostasis was accomplished with bone wax. Orbital compression was resolved and the patient recovered her previous normal visual acuity.
publishDate 2008
dc.date.none.fl_str_mv 2008-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492008000200024
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492008000200024
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-27492008000200024
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.71 n.2 2008
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
instacron_str CBO
institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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