Rare association of a frontal extra-dural hematoma with a left intra-orbital hematoma evacuated by a one-piece fronto-orbital flap

Introduction

The association of a frontal extra dural hematoma and an intra orbital hematoma is very rare, all the cases reported in the literature are case reports to our knowledge.

Observation

We report the case of an 18-year-old patient who suffered a head injury fifteen days before his admission to our department. The examination on admission found a conscious patient presenting a frontal syndrome, a non-pulsatile right exophthalmos. The cerebral CT scan objectified a right frontal extra-dural hematoma associated with a right intra-orbital hematoma. The patient was operated on, benefiting from evacuation of the two hematomas through a fronto-orbital flap with removal of the roof of the orbit in one piece. The immediate post-operative outcome was uneventfull.

Conclusion

The association of a frontal extra-dural hematoma and an intra-orbital hematoma is rare and early management allows good results.