Spontaneous Retrobulbar Haematoma
Background. Spontaneous orbital haemorrhage is a very rare condition and vision-threatening event. It may occur due to trauma, orbital surgery/injections, orbital vascular anomalies, and a variety of systemic predisposing factors. Signs of retrobulbar hemorrhage include proptosis, ophthalmoplegia, i...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2015/796834 |
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| author | Mehmet Deveer Nesat Cullu Halil Beydilli Hamdi Sozen Onder Yeniceri Selcuk Parlak |
| author_facet | Mehmet Deveer Nesat Cullu Halil Beydilli Hamdi Sozen Onder Yeniceri Selcuk Parlak |
| author_sort | Mehmet Deveer |
| collection | DOAJ |
| description | Background. Spontaneous orbital haemorrhage is a very rare condition and vision-threatening event. It may occur due to trauma, orbital surgery/injections, orbital vascular anomalies, and a variety of systemic predisposing factors. Signs of retrobulbar hemorrhage include proptosis, ophthalmoplegia, increased intraocular pressure, loss of pupillary reflexes, and optic disc or retinal pallor. Both Computed Tomography scan and Magnetic Resonance Imaging may be performed in the diagnosis. Case Report. A 31-year-old woman was referred to our hospital with a complaint of headache and blurred vision following a strong sneeze. Ophthalmological examination revealed mild Relative Afferent Pupillary Defect in left eye. Computed Tomography revealed left hyperdense retrobulbar mass and displaced optic nerve. T1 weighted hypointense, T2 weighted hyperintense and non-enhanced round shape, sharply demarcated lesion measuring 18 × 15 × 14 × mm in diameter compatible with haematoma was detected by MRI. Surgically Caldwell-Luc procedure was performed. Histological examination confirmed haematoma. Follow-up Magnetic Resonance Imaging revealed a small reduction in the size of lesion but not complete resolution. The patient’s complaint was regressed. She is now free of symptoms and is still under surveillance. To our knowledge, this is the first reported case of retrobulbar haematoma caused by sneeze. |
| format | Article |
| id | doaj-art-2fa42b6bc60c4185a3595fb3ac829cd0 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-2fa42b6bc60c4185a3595fb3ac829cd02025-02-03T06:13:12ZengWileyCase Reports in Radiology2090-68622090-68702015-01-01201510.1155/2015/796834796834Spontaneous Retrobulbar HaematomaMehmet Deveer0Nesat Cullu1Halil Beydilli2Hamdi Sozen3Onder Yeniceri4Selcuk Parlak5Department of Radiology, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, TurkeyDepartment of Radiology, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, TurkeyDepartment of Emergency Medicine, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, TurkeyDepartment of Infectious Disease, Mugla Sitki Kocman University School of Medicine, 48000 Mugla, TurkeyDepartment of Radiology, Private Yucelen Hospital, 48000 Mugla, TurkeyDepartment of Radiology, Ankara Numune Research and Training Hospital, 06100 Ankara, TurkeyBackground. Spontaneous orbital haemorrhage is a very rare condition and vision-threatening event. It may occur due to trauma, orbital surgery/injections, orbital vascular anomalies, and a variety of systemic predisposing factors. Signs of retrobulbar hemorrhage include proptosis, ophthalmoplegia, increased intraocular pressure, loss of pupillary reflexes, and optic disc or retinal pallor. Both Computed Tomography scan and Magnetic Resonance Imaging may be performed in the diagnosis. Case Report. A 31-year-old woman was referred to our hospital with a complaint of headache and blurred vision following a strong sneeze. Ophthalmological examination revealed mild Relative Afferent Pupillary Defect in left eye. Computed Tomography revealed left hyperdense retrobulbar mass and displaced optic nerve. T1 weighted hypointense, T2 weighted hyperintense and non-enhanced round shape, sharply demarcated lesion measuring 18 × 15 × 14 × mm in diameter compatible with haematoma was detected by MRI. Surgically Caldwell-Luc procedure was performed. Histological examination confirmed haematoma. Follow-up Magnetic Resonance Imaging revealed a small reduction in the size of lesion but not complete resolution. The patient’s complaint was regressed. She is now free of symptoms and is still under surveillance. To our knowledge, this is the first reported case of retrobulbar haematoma caused by sneeze.http://dx.doi.org/10.1155/2015/796834 |
| spellingShingle | Mehmet Deveer Nesat Cullu Halil Beydilli Hamdi Sozen Onder Yeniceri Selcuk Parlak Spontaneous Retrobulbar Haematoma Case Reports in Radiology |
| title | Spontaneous Retrobulbar Haematoma |
| title_full | Spontaneous Retrobulbar Haematoma |
| title_fullStr | Spontaneous Retrobulbar Haematoma |
| title_full_unstemmed | Spontaneous Retrobulbar Haematoma |
| title_short | Spontaneous Retrobulbar Haematoma |
| title_sort | spontaneous retrobulbar haematoma |
| url | http://dx.doi.org/10.1155/2015/796834 |
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