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Journal of Korean Neurosurgical Society > Volume 44(3); 2008 > Article
Journal of Korean Neurosurgical Society 2008;44(3): 156-158.
doi: https://doi.org/10.3340/jkns.2008.44.3.156
Spontaneous Intraorbital Hemorrhage : A Case Report.
Jae Hyun Kwon, Young Jin Song, Sun Seob Choi, Ki Uk Kim
1Department of Neurosurgery, College of Medicine, Dong-A University, Busan, Korea. kukim@donga.ac.kr
2Department of Radiology, College of Medicine, Dong-A University, Busan, Korea.
ABSTRACT
Intraorbital hemorrhage is a rare clinical condition caused by orbital trauma, surgery around the orbit, intraorbital vascular abnormalities, and neoplasm. It was reported to occur spontaneously without any known causes and in association with orbital pseudotumor in a very few cases. A 59-year-old, female patient admitted with sudden onset of severe exophthalmos and pain on the left eye. Orbital CT and MR imaging suggested hemorrhage in the upper part of retrobulbar area of the left orbit. Cerebral angiography was taken to rule out any possible vascular abnormalities. On the left carotid cerebral angiography, the run-off of the distal ophthalmic artery was not seen and the engorgement of the supraophthalmic artery was noted. Systemic administration of corticosteroid did not improve the clinical status and craniectomy was done and retrobulbar hematoma was removed, and the clinical symptoms and signs were improved. Authors report a case of spontaneous intraorbital hemorrhage with the clinical features similar to those of orbital pseudotumor, requiring surgical decompression.
Key Words: Intraorbital hemorrhage; Orbital pseudotumor; Surgical decompression
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