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Indian Journal of Neurotrauma 2016; 13(03): 165-167
DOI: 10.1055/s-0036-1597751
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Frontal Bone Fracture Extending into the Roof and Medial Wall of Orbital Fracture Causing Diplopia

Amit Agrawal
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Umamaheswara Reddy V
2   Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Yashawanth Sandeep
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Ninad Nareshchandra Shrikhande
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
› Author Affiliations
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Publication History

09 September 2016

02 December 2016

Publication Date:
28 December 2016 (online)

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Abstract

Fractures of the anterior cranial fossa can extend into the orbit and, if not detected early, can lead to either acute (e.g., diplopia, retrobulbar hematoma, and enophthalmos) or chronic complications (e.g., diplopia, restricted extraocular movement, ectropion, and enophthalmos). We report a case of a 15-year-old male child who sustained frontal bone fracture extending into the orbit. He had swelling of the right eye, and once the swelling subsided, he complained of diplopia. Computed tomography scan of the brain showed comminuted depressed frontal bone fracture extending more on the right side—the fracture was extending into the right orbital roof and associated fracture of the right medial orbital wall. The child underwent elevation of depressed bone fragments including decompression of the medial rectus muscle. Frontal bone fragments was replaced and secured with miniplates and screws. His diplopia completely recovered and he is doing well at follow-up.

Keywords

orbital wall fractures - diplopia - medial orbital wall - extraocular muscle entrapment - skull fracture
 

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