Spontaneous Subperiosteal Hematoma of the Orbit

Abstract

Orbital subperiosteal hemorrhage is rare, with most cases occurring in young males as a result of direct facial or orbital trauma. The authors present a case of a spontaneous subperiosteal hematoma of the orbit in a 4-year-old girl.

Subacute phase treatment of subperiosteal hematoma of the orbit with epidural hematoma in the frontal cranial fossa: Case report

“…Therefore, after considering the patient’s age, the current operation was performed in an attempt to avoid any possible sequelae [11]. However, because there have been very few cases reported for subperiosteal hematoma in the orbit with an ipsilateral frontal epidural hematoma, we were initially very hesitant to perform the surgical therapy in this emergency situation [3,5-7].…”

Subperiosteal hematoma in multiple settings

“…[1][2][3][4] Additionally, SpH may result from periorbital inflammation (eg, sinusitis, orbital cellulitis, endophthalmitis), underlying metabolic disorders, vascular disorders, orbital infarction, migraines, or idiopathically. [5][6][7][8] Although most resolve without long-term visual or orbital sequelae, some SpHs may cause profound visual loss as well as orbital changes. Acute hematomas can resolve spontaneously or develop into subacute and chronic hematomas (hematic cysts of the orbit).…”

“…The literature on acute SpH consists of isolated cases reports underscoring the rarity of the condition. 8 Because many reports of "orbital hemorrhage" do not differentiate between intraconal, extraconal, and subperiosteal hemorrhage, ambiguity persists regarding symptoms, predisposing factors, and outcomes of SpH as a separate entity. We report 3 cases highlighting separate conditions under which SpH developed and maintain that orbital SpH comprises a separate and distinct subset of orbital hemorrhage.…”