NECK CONSTRICTION MAY CAUSE ORBITAL SUB-PERIOSTEAL HEMATOMAS

Abstract

　　Orbital sub-periosteal hematomas result from facial trauma, which is the major cause for hyperemia, and may sometimes occur spontaneously. Symptoms include heterotropia, exophthalmos, and diplopia, which are caused by disordered eye movement. A 79-year-old woman who had been choked by a belt was diagnosed with orbital sub-periosteal hematoma. Although she had altered mentation due to neck constriction on arrival, she was alert the next day. Eye movement or any other disorders were not observed, and she was discharged. These findings suggested that neck constriction may cause orbital sub-periosteal hematomas. Conservative treatment may be sufficient when minimal symptoms are observed in patients with orbital sub-periosteal hematomas.