Ocular involvement after subgaleal hematoma

Orbital Compartment Syndrome Following Post-Traumatic Subgaleal Hematoma

“…Blood can dissect and disinsert the attachments of the arcus marginalis to the orbital rim and accumulate within the orbit subperiosteally, resulting in proptosis, pain, decreased vision, and ophthalmoplegia. 4,5 The subgaleal location of accumulated blood allows the ophthalmic manifestations of the injury to occur in the ipsilateral, contralateral, or bilateral orbits. 1,3,4 Coagulopathies can predispose to SGH and a workup should include evaluation of vitamin K deficiency, fibrinogen level, factor deficiencies, or platelet disorders.…”

“…4,5 The subgaleal location of accumulated blood allows the ophthalmic manifestations of the injury to occur in the ipsilateral, contralateral, or bilateral orbits. 1,3,4 Coagulopathies can predispose to SGH and a workup should include evaluation of vitamin K deficiency, fibrinogen level, factor deficiencies, or platelet disorders. The patient was diagnosed with a heterozygous form of factor VII, which is consistent with the 47% (7/15) incidence of bleeding disorders identified by Karcioglu et al 4 in a series of patients with ophthalmic…”

A Rare Cause of Subgaleal Hematoma in Children: Hair Pulling

“…4,9,12 At this stage, SGH manifests with a fluctuant scalp swelling crossing the suture lines and patients usually complaint of headache, emesis, drowsiness or amnesia. 4,9,10,13 It can be clinically distinguished from cephalohematoma that occurs in the periosteum. In contrast to SGH, cephalohematoma can not cross the suture lines typically as the periosteum is attached there.…”

“…3,4,[6][7][8] In spite of its benign course, subgaleal hematomas may complicate by vision or lifethreatening events. 6,[8][9][10][11] In this paper, we present a case of uncomplicated SGH after hair pulling and aimed to describe its pathogenesis and management.…”

The eye of Horus in a subgaleal haematoma: where art imitates life

“…Occasionally, SGH can lead to bilateral orbital haemorrhages with loss of vision needing surgical intervention. 3 Kohl eyeliner 4 was worn by both men and women in ancient Egypt for adornment and to reduce solar glare and ward off evil spirits. How the practise originated is less clear.…”