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Posttraumatic orbital emphysema in a 7-year-old girl associated with bilateral raccoon eyes: Revisit of rare clinical emergency, with potential for rapid visual deterioration.

Satyarthee GD, Sharma BS - J Pediatr Neurosci (2015 Apr-Jun)

Bottom Line: Authors report an interesting 7-year-old girl who presented with proptosis of left eye, associated with swelling of eyelids of both eyes.Fortunately, she responded well to conservative therapy.Current article reminds uncommon condition to prevent potential visual loss, describing briefly management options.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Neurosciences Centre, AIIMS, New Delhi, India.

ABSTRACT
Orbital emphysema is usually considered as self-limiting condition, rarely carries a risk of vision loss as catastrophic consequences due to occlusion of the central retinal artery. It can occur as a consequence of head trauma associated with fracture of the orbit, previous surgery, infection or exposure to high-pressure air jet. Authors report an interesting 7-year-old girl who presented with proptosis of left eye, associated with swelling of eyelids of both eyes. Computerized tomography scan head and orbit revealed orbital emphysema in the left eye with fracture of medial wall of left orbit and fracture of orbit roof with small pneumocephalus over left basifrontal region. Fortunately, she responded well to conservative therapy. Current article reminds uncommon condition to prevent potential visual loss, describing briefly management options.

No MeSH data available.


Related in: MedlinePlus

Noncontrast computerized tomography head demonstrating pneumocephalus
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Figure 4: Noncontrast computerized tomography head demonstrating pneumocephalus

Mentions: An urgent computerized tomography (CT) scan head and facial bones including the orbits was performed and revealed fracture of medial orbital wall of left orbit, [Figure 1]. Air pockets were present between the left medial rectus and medial orbital wall. Bone window revealed fracture of orbit roof with small pneumocephalus over left basifrontal region [Figures 2 and 3]. Noncontrast CT head revealed small pockets of pneumocephalus [Figure 4]. She was kept in hospital and managed conservatively, over 4 days her vision remain stable with the subsidence of pain and reduction of periorbital swelling. At the last follow-up, 1-month following discharge her restricted medial gaze extra-ocular movement improved.


Posttraumatic orbital emphysema in a 7-year-old girl associated with bilateral raccoon eyes: Revisit of rare clinical emergency, with potential for rapid visual deterioration.

Satyarthee GD, Sharma BS - J Pediatr Neurosci (2015 Apr-Jun)

Noncontrast computerized tomography head demonstrating pneumocephalus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4489066&req=5

Figure 4: Noncontrast computerized tomography head demonstrating pneumocephalus
Mentions: An urgent computerized tomography (CT) scan head and facial bones including the orbits was performed and revealed fracture of medial orbital wall of left orbit, [Figure 1]. Air pockets were present between the left medial rectus and medial orbital wall. Bone window revealed fracture of orbit roof with small pneumocephalus over left basifrontal region [Figures 2 and 3]. Noncontrast CT head revealed small pockets of pneumocephalus [Figure 4]. She was kept in hospital and managed conservatively, over 4 days her vision remain stable with the subsidence of pain and reduction of periorbital swelling. At the last follow-up, 1-month following discharge her restricted medial gaze extra-ocular movement improved.

Bottom Line: Authors report an interesting 7-year-old girl who presented with proptosis of left eye, associated with swelling of eyelids of both eyes.Fortunately, she responded well to conservative therapy.Current article reminds uncommon condition to prevent potential visual loss, describing briefly management options.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Neurosciences Centre, AIIMS, New Delhi, India.

ABSTRACT
Orbital emphysema is usually considered as self-limiting condition, rarely carries a risk of vision loss as catastrophic consequences due to occlusion of the central retinal artery. It can occur as a consequence of head trauma associated with fracture of the orbit, previous surgery, infection or exposure to high-pressure air jet. Authors report an interesting 7-year-old girl who presented with proptosis of left eye, associated with swelling of eyelids of both eyes. Computerized tomography scan head and orbit revealed orbital emphysema in the left eye with fracture of medial wall of left orbit and fracture of orbit roof with small pneumocephalus over left basifrontal region. Fortunately, she responded well to conservative therapy. Current article reminds uncommon condition to prevent potential visual loss, describing briefly management options.

No MeSH data available.


Related in: MedlinePlus