Proptosis after hair pulling

Chee Chew Yip, Timothy J McCulley, Robert C. Kersten, Dwight R. Kulwin

Research output: Contribution to journalArticle

Abstract

We describe proptosis due to a subperiosteal orbital hematoma that originated from a subgaleal bleed caused by hair pulling. A 13-year-old boy presented with a one-week history of progressive proptosis after his older sister pulled his hair during an argument. Computerized tomography showed a subgaleal hematoma and a right superior subperiosteal orbital hematoma. Progressive proptosis and compressive optic neuropathy developed, necessitating surgical evacuation with a favorable outcome. Hair pulling can result in a subgaleal bleed with extension to the orbital subperiosteal space. When managing patients with a subgaleal hematoma, this vision-threatening complication should be considered and treated accordingly.

Original languageEnglish (US)
Pages (from-to)154-155
Number of pages2
JournalOphthalmic Plastic and Reconstructive Surgery
Volume19
Issue number2
DOIs
StatePublished - Mar 2003
Externally publishedYes

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Exophthalmos
Hematoma
Hair
Optic Nerve Diseases
Siblings
Tomography

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Proptosis after hair pulling. / Yip, Chee Chew; McCulley, Timothy J; Kersten, Robert C.; Kulwin, Dwight R.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 19, No. 2, 03.2003, p. 154-155.

Research output: Contribution to journalArticle

Yip, Chee Chew ; McCulley, Timothy J ; Kersten, Robert C. ; Kulwin, Dwight R. / Proptosis after hair pulling. In: Ophthalmic Plastic and Reconstructive Surgery. 2003 ; Vol. 19, No. 2. pp. 154-155.
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