Rare association of a frontal extra-dural hematoma with a left intra-orbital hematoma evacuated by a one-piece fronto-orbital flap

Abstract

Introduction: The association of a frontal extra dural hematoma and an intra orbital hematoma is very rare, all the cases reported in the literature are case reports to our knowledge. Observation: We report the case of an 18-year-old patient who suffered a head injury fifteen days before his admission to our department. The examination on admission found a conscious patient presenting a frontal syndrome, a non-pulsatile right exophthalmos. The cerebral CT scan objectified a right frontal extra-dural hematoma associated with a right intra-orbital hematoma. The patient was operated on, benefiting from evacuation of the two hematomas through a fronto-orbital flap with removal of the roof of the orbit in one piece. The immediate post-operative outcome was uneventfull. Conclusion: The association of a frontal extra-dural hematoma and an intra-orbital hematoma is rare and early management allows good results.

Keywords

• Hematoma
• Frontal
• Orbit
• One-piece