Spontageous orbital subperiosteal hematoma

ABSTRACT

Subperiosteal hematoma of the orbit is uncommon and mostly produced by trauma or diseases such as leukemia, hemophilia and scurvy. A spontaneous occurrence which is not associated with any of these causes, however, is extremely rare. We report a case of a 27-year-old woman. The presenting symptoms were proptosis, lid edema and diplpia which developed suddenly. Clinical features, orbital echography, computerized tomography and magnetic resonance imaging established the diagnosis of spontaneous subperiosteal hematoma of the orbit. It was managed successfully by conservative treatment. A patient profile, mode of clinical presentation, imaging findings, pathogenesis and management options are discussed.