2013
DOI: 10.3109/01676830.2013.853807
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Spontaneous Subperiosteal Orbital Hematoma as Initial Presentation of Metastatic Lung Adenocarcinoma to the Skull: Case Report

Abstract: Differential diagnosis of etiologies causing the formation of sSOH in an adult without history of trauma should include metastatic neoplasm to the skull and warrants metastatic workup. Treatment options of sSOH have included observation with spontaneous resolution; however, we opted for surgical decompression of the eye and biopsy of the skull mass.

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Cited by 6 publications
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“…Reported cases describe it secondary to coagulopathy and sinusitis as well as spontaneous episodes likely secondary to a sudden increase in intracranial pressure such as: labour, emesis, strangulation, scuba diving, weight lifting and coughing 3–6. Rarer causes still include metastatic carcinoma to the bony skull vault and orbit 7. A number of these cases were successfully treated conservatively with expectant management, using signs of optic nerve compression as indication to operate 8.…”
Section: Discussionmentioning
confidence: 99%
“…Reported cases describe it secondary to coagulopathy and sinusitis as well as spontaneous episodes likely secondary to a sudden increase in intracranial pressure such as: labour, emesis, strangulation, scuba diving, weight lifting and coughing 3–6. Rarer causes still include metastatic carcinoma to the bony skull vault and orbit 7. A number of these cases were successfully treated conservatively with expectant management, using signs of optic nerve compression as indication to operate 8.…”
Section: Discussionmentioning
confidence: 99%
“…Orbital wall compromise from sickle-cell infarcts [1,14], sinus infections [15][16][17], and carcinoma [18] has been shown to predispose to non-traumatic subperiosteal orbital haematomas. However, no evidence of adjacent orbital wall or sinus pathology was evident on imaging of our patient to explain her unusual presentation (Figure 2).…”
Section: Discussionmentioning
confidence: 99%