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February 1959

Infratemporal Subdural Hematoma as a Cause of Exophthalmos

Author Affiliations

New York
Institute of Ophthalmology.

AMA Arch Ophthalmol. 1959;61(2):274-281. doi:10.1001/archopht.1959.00940090276014

In the voluminous literature on subdural hematoma, a characteristic deformity of the skull produced by the lesion when located in the middle cranial fossa of one side was described first by Davidoff and Dyke1 and later by Bull.2 Although the deformity encroaches on the orbit and reduces its capacity and must influence the position of the eyeball, exophthalmos was seldom mentioned in the reported clinical histories. It is most probable that unilateral exophthalmos of some degree existed in every case. Since exophthalmos is frequently an indication of a threat to vision, if not to life itself, it seems important that this additional cause of proptosis receive attention. Report of Cases

Case 1.  —A boy with headache, papilledema and right exophthalmos; diagnosis made on finding of enlargement of right middle cranial fossa; shift of ventricle to the left revealed by pneumoencephalogram; evacuation of hematoma through burr hole; prompt and

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