Subscribe to RSS
DOI: 10.1055/s-0037-1603953
Orbital Subperiosteal Hematoma in the Newborn Causing Unilateral Proptosis: Ultrasound as First-Line Imaging Modality
Publication History
10 October 2016
27 March 2017
Publication Date:
30 June 2017 (online)
Abstract
Proptosis in the neonatal period is relatively infrequent and has diverse underlying etiologies. One of the more common causes appears to be orbital subperiosteal hematoma. Early detection, differentiation from other causes, and regular follow-up are essential as loss of vision can occur. We describe two cases of neonatal proptosis caused by orbital subperiosteal hematoma highlighting different diagnostic and management approaches, and provide a summary of previously reported cases. Spontaneous resolution occurs in most cases; however, emergent surgical evacuation is warranted in cases of optic nerve compression. This is the first report to provide orbital ultrasound images of uncomplicated neonatal orbital subperiosteal hematoma. Orbital ultrasound followed by magnetic resonance imaging (MRI) is a valid nonradiation approach for assessing neonatal proptosis due to subperiosteal orbital hematoma.
Note
No funding was received for this article.
-
References
- 1 Erickson BP, Tse DT. Management of neonatal proptosis: a systematic review. Surv Ophthalmol 2014; 59 (04) 378-392
- 2 Kurlemann G, Schlüter A, Dominick HC. Subperiostales Hämatom der Orbita nach Zangenentbindung–Kasuistik. (in German). Geburtshilfe Frauenheilkd 1987; 47 (01) 61-62
- 3 Munoz M, Weatherhead R. Orbital hemorrhage in a newborn. Am J Ophthalmol 1989; 108 (02) 206-208
- 4 Skull SA, Sullivan TJ. Subperiosteal orbital haematoma presenting as proptosis at birth. J Paediatr Child Health 1997; 33 (03) 256-258
- 5 Bart DJ, Lueder GT. Orbital hemorrhage following extracorporeal membrane oxygenation in a newborn. J Pediatr Ophthalmol Strabismus 1997; 34 (01) 65-67
- 6 Ezzadin EM, Liu D, Al-Rashed W, Jacquemin C. Bilateral orbital hemorrhage in a newborn. Am J Ophthalmol 2000; 129 (04) 531-533
- 7 Kaur A, Misra S. Bilateral subperiosteal haemorrhage in a newborn. Br J Ophthalmol 2013; 97 (06) 793
- 8 Javaid FZ, Bates A, Conry B, Gowda R. Neonatal orbital subperiosteal haematoma following shoulder dystocia. Arch Dis Child Fetal Neonatal Ed 2016; 101 (05) F479
- 9 Preece JM, Cornette L, El-Hindy N. Simple management of isolated proptosis at birth. Arch Dis Child Fetal Neonatal Ed 2005; 90 (03) F234
- 10 Tonami H, Kuginuki Y, Okimura T, Yamamoto I, Kawakami S, Sasaki K. MRI of subperiosteal hematoma of the orbit. J Comput Assist Tomogr 1994; 18 (04) 549-551
- 11 Jerónimo M, Azenha C, Mesquita J, Pereira DF. A rare manifestation of neonatal alloimmune thrombocytopaenia. BMJ Case Rep 2014; 2014: pii:bcr2014204393
- 12 Punnen A, Loganathan SK, Veetiyil GI, Scott JX, Kumar S. Neonate with orbital bleed. Pediatr Blood Cancer 2015; 62 (03) 548
- 13 Lee KS, Bae WK, Lee HS, Bae HG, Yun IG. Proptosis from a cephalhematoma in a twelve-year-old girl--a case report. J Korean Med Sci 1991; 6 (03) 251-254
- 14 Jenkins TL, Zheng CX, Murchison AP, Bilyk JR. Orbital compartment syndrome following post-traumatic subgaleal hematoma. Ophthal Plast Reconstr Surg 2017; 33 (02) e33-e36
- 15 Knopp U, Knopp A, Stellmacher F. , et al. A non-midline spheno-orbital encephalocele in a newborn. Cent Eur Neurosurg 2009; 70 (01) 43-47
- 16 Burns NS, Iyer RS, Robinson AJ, Chapman T. Diagnostic imaging of fetal and pediatric orbital abnormalities. AJR Am J Roentgenol 2013; 201 (06) W797-W808