Orbital roof fractures after blunt head trauma are not uncommon. Hernia ion of the brain tissues into the orbit through a bony defect, so-called post-traumatic orbital encephalocele, is a rare entity. The herniated braint issue causes compression of the intraorbital contents, particularly the optic nerve, extraocular nerves and muscles and compromise the vascular supply. Raisedintraorbital pressure may lead to irreversible damage to the optic nerve. This can be prevented by early diagnosis and timely management. Repair of the orbital roof needs to be performed to avoid transmission of intracranial pressure into the orbit. Early intervention is needed in order to prevent visual loss. We present a case of posttraumatic orbital encephalocele who underwent latesurgical treatment with direct repair of dura opening, reinforcement with temporalis fascia and reconstruction of orbital roof using skull bone graft. Complete resolution of the pulsatile proptosis with excellent cosmetic result was observed at follow up. However, the visual diminution did not recover significantly due to late diagnosis and intervention. Early diagnosis and surgical management of this rare condition can prevent permanent visual loss and also achieve good cosmetic results.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.