두피하 혈종으로부터 확장된 안구내 골막하 혈종 - 증 례 보 고 -

Subperiosteal Orbital Extension of Subgaleal Hematoma - A Case Report -

  • 정병하 (한림대학교 의과대학 강남성심병원 신경외과학교실) ;
  • 문재곤 (한림대학교 의과대학 강남성심병원 신경외과학교실) ;
  • 김창현 (한림대학교 의과대학 강남성심병원 신경외과학교실) ;
  • 이호국 (한림대학교 의과대학 강남성심병원 신경외과학교실) ;
  • 황도윤 (한림대학교 의과대학 강남성심병원 신경외과학교실)
  • Jeong, Byung Ha (Department of Neurosurgery, Kang Nam Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Moon, Jae Gon (Department of Neurosurgery, Kang Nam Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Kim, Chang Hyun (Department of Neurosurgery, Kang Nam Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Ho Kook (Department of Neurosurgery, Kang Nam Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Hwang, Do Yun (Department of Neurosurgery, Kang Nam Sacred Heart Hospital, Hallym University School of Medicine)
  • 투고 : 2000.02.21
  • 심사 : 2000.07.07
  • 발행 : 2000.09.28

초록

The authors present a case of subperisoteal orbital hematoma which is extended from subgaleal hematoma. A 15-year-old-male was admitted with a complaint of multiple visual symptoms of left eye following blunt head trauma. He has suffered from Wilson's disease. Several coagulative laboratory findings were abnormal(fibrinogen and coaguation factor V, X). Computed tomography, sonography and magnetic resonance imaging established the subperiosteal orbital extension of subgaleal hematoma into the orbital cavity. Needle aspiration of orbital subperiosteal hematoma was failed but symptoms and signs of the patient were much improved spontaneously following decrease of subgaleal hematoma. The literature is reviewed and management is discussed.

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