| Title |
Ptosis and levator paralysis caused by orbital roof fractures. Three cases with subfrontal epidural hematomas. |
| Creator |
James R. Keane, MD, University of Southern California Medical Center |
| Affiliation |
Department of Neurology, Los Angeles County/University of Southern California Medical Center Los Angeles. |
| Abstract |
Blows to the forehead resulted in orbital roof fractures and subfrontal epidural hemorrhage in three patients. Neurologic eye signs were limited to ipsilateral paralysis of globe and lid elevation. In the context of an ecchymotic upper lid, these findings indicate local damage to orbital muscles rather than injury to the superior division of the third nerve. Even when such patients are alert, prompt computed tomographic (CT) scanning of the head should be undertaken to rule out an enlarging epidural hematoma. |
| Subject |
Adult; Blepharoptosis; Brain Injuries; Cerebral Hemorrhage; Female; Hematoma; Epidural; Cranial; Humans; Male; Middle Older people; Ophthalmoplegia; Orbital Fractures; Tomography, X-Ray Computed |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225928 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6642vtm/225928 |
