Concomitant occurrence of subfrontal extradural hematoma and orbital subperiosteal hematoma: A rare entity

Abstract

Subfrontal extradural hematomas are uncommon, similar are orbital subperiosteal hematomas. Co-occurrence of both following head trauma is very rare. We describe co-occurrence of sub frontal extradural and orbital subperiosteal hematomas in four patients. The presenting symptoms were proptosis and visual complaints. Diagnosis was confirmed on computed tomography in three patients and magnetic resonance imaging in one patient. Frontal craniotomy and superior orbitotomy with evacuation of hematoma resulted in complete resolution of proptosis and visual symptoms. We emphasize on the early diagnosis of this rare condition and also emergency treatment to prevent permanent visual loss.

Post traumatic large vertex epidural hematoma without sagittal sinus injury: A case report and review of literature

“…Computed tomography scan of head is the rapid and inexpensive diagnostic study in emergency situation for diagnosis of intracranial hematoma, fracture involving the orbit and optic nerve canal and for planning of early surgical intervention to prevent loss of life and vision. 9,10 In our case there was no associated exophthalmus or involvement of orbit. Conventional axial computed tomography may sometimes underestimate the size of vertex EDH.…”