Vision loss secondary to sinusitis-related subperiosteal orbital hemorrhage

Abstract

Fig. 2-(A) Coronal computed tomography demonstrating opacification of the right sphenoid and ethmoid sinuses. (B) T2weighted fat-suppressed coronal magnetic resonance imaging (MRI) showing a hyperintense superior orbital lesion with central areas of hypointensity. (C) T1-weighted fat-suppressed coronal MRI showing a nonenhancing superior orbital mass.

Case Report: Late spontaneous orbital subperiosteal hematoma after endoscopic sinonasal tumor resection

“…Predisposing factors to spontaneous SOH include sudden elevations in venous pressure, bleeding tendencies, and sinusitis [1] , [3] . Whether the hematoma, in this case, was related to sinus disease, radiation therapy, or another pathological process post-extensive sinonasal surgery is unclear.…”

“…Late spontaneous subperiosteal orbital hematoma has been rarely associated with endoscopic approaches to the orbit [2] . They usually self-resolve, and surgical drainage is seldom needed in the absence of complications, such as optic nerve compression [3] .…”

Spontaneous Subperiosteal Orbital Hematoma Associated With Cocaine-Induced Midline Destructive Lesion

“…3–10 A fluid collection in the subperiosteal space usually represents an abscess rather than a hematoma in the context of chronic sinusitis; SOH is rare, with fewer than 20 cases reported in the literature. 3–10 Sinus infections can spread to adjacent structures via a system of valveless veins communicating between the nose, paranasal sinuses, orbit, and cavernous sinus. 9 Thus, the orbital venous system may contribute to the spread of infections in the periorbita.…”

Acute Proptosis: A Sign of Venous Hemorrhagic Infarct

“…It is mainly seen in trauma patients with retrobulbar hemorrhage. There are very few case reports of patients with acute proptosis associated with cortico-cavernous fistula, trauma patients with extradural hemorrhage, retrobulbar hemorrhage, subperiosteal hemorrhage, isolated rectus muscle hematoma, intracerebral hemorrhage following thrombolysis, fever with orbital cellulitis and subperiosteal hemorrhage that have been reported [3][4][5][6][7][8][9]. Thus each new case is essential.…”

“…According to some case reports, acute proptosis may also occur in patients with cavernous sinus thrombosis and trauma patients with extradural hemorrhage, retrobulbar hemorrhage, subperiosteal hemorrhage, and isolated rectus muscle hematoma. There are also isolated case reports of patients with acute proptosis with retrobulbar hemorrhage and intracerebral hemorrhage following thrombolysis and fever with orbital cellulitis and subperiosteal hemorrhage [3][4][5][6][7][8][9]. According to one detailed study, there was no association found between a specific type of cerebral venous sinus and ocular signs other than proptosis.…”