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Mentions: A 21-month-old male presented with a low impact fall striking his left eye against a metal stand at the market. On examination he was in no distress, had significant periorbital swelling, a dilated pupil with a sluggish pupillary response, and grossly normal extraocular movements. The initial orbital computed tomography (CT) showed a small nondisplaced fracture of the orbital roof with a fracture around the orbital apex. There was loculated air and hemorrhage within the left orbit, but the globe was intact. There was also an abnormal dense intracranial calcification along the lateral margin of the suprasellar region near the cavernous sinus which was suspicious for a small fracture fragment (Figure 1). A head CT confirmed the finding of a 4–5mm bone intracranial fragment posterior to the left orbital apex (Figure 2).
Affiliation: Children's Hospital of Orange County, Department of Pediatric Emergency Medicine.
No MeSH data available.