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Observation
June 2016

Proptosis Secondary to Orbital Bone Remodeling From Intracranial Hypertension

Author Affiliations
  • 1Royal Adelaide Hospital, North Terrace, Adelaide, South Australia, Australia
  • 2South Australian Institute of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia, Australia
  • 3School of Ophthalmology and Visual Sciences, University of Adelaide, North Terrace, Adelaide, South Australia, Australia
  • 4Department of Radiology, Women’s and Children’s Hospital, North Adelaide, South Australia, Australia
JAMA Ophthalmol. 2016;134(6):714-715. doi:10.1001/jamaophthalmol.2016.0929

Chronically elevated intracranial pressure (ICP) can cause bony remodeling of the cranial vault. This has been reported to occur in the sphenoid bone and the ethmoid and temporal bones, where nasal or otic cerebrospinal fluid (CSF), respectively, can leak.1 We report a case of proptosis secondary to remodeling of the orbital bones in a patient with intracranial hypertension (IH) from acute lymphoblastic leukemia.

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