J Korean Neurosurg Soc.  2008 Sep;44(3):156-158. 10.3340/jkns.2008.44.3.156.

Spontaneous Intraorbital Hemorrhage : A Case Report

• Kwon JH
• Song YJ
• Choi SS
• Kim KU

• KMID: 2067346
• DOI: http://doi.org/10.3340/jkns.2008.44.3.156

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.

Keyword

Intraorbital hemorrhage; Orbital pseudotumor; Surgical decompression

MeSH Terms

Arteries
Cerebral Angiography
Decompression, Surgical
Exophthalmos
Eye
Female
Hematoma
Hemorrhage
Humans
Middle Aged
Ophthalmic Artery
Orbit
Orbital Pseudotumor