Subperiosteal and intraconal haematoma associated with frontal and subfrontal extradural haematoma: Case report

Abstract

Intraorbital subperiostal haematoma is a rare entity described in the radiology, ophthalmology and neurosurgical literature produced in most of the cases by head traumas. The authors present the case of a woman suffered a car accident that caused deep coma, bilateral exophtalmia with dominance in the right eye, left hemiparesis. CT scan of the head showed DAI, huge extradural right front temporal haematoma, subperiostal and intraorbital haematoma in the right orbit, intraventricular hemorrhage, falx cerebelli hemorrhage, fracture of the etmoidal bone with etmoid haemosinus. It was done emergent successful surgical removal of the epidural haematoma, and partial removal of the subperiostal and intraorbital haematoma by trepanation of the orbit on the fracture site. Postoperative evolution was eventless and control CT Scan showed healed radiologically.