Abstract
Abstract: :
Purpose: To report a case of an orbital encephalocele in the setting of bilateral orbital roof fractures and orbital hematomas which masqueraded as a cavernous sinus thrombosis. Methods: An observational case report of a 48–year–old man with a recent history of a bifrontal craniotomy with intraoperative radiation for melanoma metastases who developed mental status changes, fever, vomiting, bilateral proptosis and elevated intraocular pressures after sustaining a minor fall. Results: Neuroimaging revealed bilateral orbital roof fractures and orbital hematomas with right orbital encephalocele. There was no radiographic evidence of a cavernous sinus thrombosis. Conclusions: The clinical presentation of an orbital encephalocele can masquerade as a cavernous sinus thrombosis.
Keywords: neuro–ophthalmology: diagnosis • orbit