Traumatic superior orbital fissure syndrome: a rare case report

Year 2017, Volume: 3 Issue: 1, 73 - 79, 04.03.2017

Teoman Eskitascioglu Yalcin Yontar , Ahmet Aydin Bulent Tucer

https://doi.org/10.18621/eurj.2017.5000190660

Abstract

Superior orbital fissure syndrome is a severe clinical entity characterized by injuries of neurovascular structures passing through the superior orbital fissure. A 38-year-old male patient admitted to outpatient clinic with left upper eyelid ptosis, ecchymosis, mydriasis, hypoesthesia in upper eyelid and frontal region, blepharoptosis, restriction of ocular movements in all directions, loss of accommodation reflex and absence of direct pupillary reflex. Three-dimensional computed tomography scans demonstrated left-sided orbital fractures resulting in obliteration of the superior orbital fissure. He underwent surgical decompression. The patient had intravenous methylprednisolone administration at preoperative and postoperative periods during hospitalization. He was discharged on the postoperative day 5. At the 9^th postoperative month, the cranial nerve functions were almost completely recovered. We consider that the decompressive surgery in conjunction with perioperative steroid therapy may be effective for the traumatic superior orbital fissure syndrome. 

Keywords

Superior orbital fissure syndrome, cranial nerve, ophthalmoplegia, orbital trauma, steroid, surgical decompression

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