A Case of Subperiosteal Orbital Hematoma Associated with von Willebrand Disease.
- Author:
Kang Cheol HUH
1
;
Yoon Duck KIM
Author Information
1. Department of Ophthalmology, Samsung Medical Center, College of Medicine, Sungkyunkwan University, Seoul, Korea. ydkim@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Proptosis;
Subperiosteal orbital hematoma;
Von Willebrand disease
- MeSH:
Adult;
Child;
Diagnosis;
Diplopia;
Exophthalmos;
Female;
Follow-Up Studies;
Hematoma*;
Hemorrhage;
Humans;
Hyperemia;
Korea;
Leukemia;
Magnetic Resonance Imaging;
Orbit*;
Scurvy;
Sinusitis;
Venous Pressure;
Visual Acuity;
von Willebrand Diseases*;
Young Adult
- From:Journal of the Korean Ophthalmological Society
2002;43(1):213-218
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Subperiosteal orbital hematoma is rare, and most cases occur in children or young adults after direct facial or orbital trauma. Nontraumatic subperiosteal hemorrhage has been reported in association with systemic disease associated with leukemia, scurvy, sudden elevation of cranial venous pressure or venous congestion, and paranasal sinusitis. To our best knowledge, this is the first case of subperiosteal orbital hematoma associated with von Willebrand disease in Korea. METHODS: A 30-year-old woman experienced a sudden onset of proptosis, diplopia and decreased visual acuity. Clinical features, orbital CT and MRI established the diagnosis of subperiosteal hematoma of the orbit. The patient was treated with superior orbitotomy with hematoma evacuation. RESULTS: After the surgery, the patient's visual acuity completely recovered and proptosis disappeared. During follow-up periods, she was diagnosed to have von Willebrand disease.
