CC BY-NC-ND 4.0 · AJP Rep 2017; 07(02): e138-e143
DOI: 10.1055/s-0037-1603953
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Orbital Subperiosteal Hematoma in the Newborn Causing Unilateral Proptosis: Ultrasound as First-Line Imaging Modality

Florencia Angkasa
1  Department of Perinatal Medicine, Flinders Medical Centre, South Australia, Australia
,
Leila Mohammadi
2  Flinders University, South Australia, Australia
,
Deepa Taranath
3  Flinders Eye Centre, Flinders Medical Centre, South Australia, Australia
,
Ajay Taranath
4  Institute for Medical Imaging, Flinders Medical Centre, South Australia, Australia
5  Department of Radiology, Women's and Children's Hospital, North Adelaide, Australia
,
Marcus Brecht
1  Department of Perinatal Medicine, Flinders Medical Centre, South Australia, Australia
› Author Affiliations
Further Information

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.


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