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KMID : 0360219680090010033
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Journal of the Korean Ophthalmological Society
1968 Volume.9 No. 1 p.33 ~ p.36
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A Case of Pulsating Exophthalmos
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柳大佑/Yoo, D.U.
石在洙/吳俊燮/韓彪燮/Suhk, J.S./Oh, J.S/Han, P.S.
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Abstract
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A case of. post-traumatic pulsating exophthalmos is presented in this report. A 30- year old Korean male received very slight trauma by heading wooden-shelf without apparent external wound. Since then left side tinitus appeared without significant headache and it has progressed slowly. About 20 days prior to visit K.N.U. Hospital, he noticed´ slight protruding of his left eye-ball which was -followed by progressively increasing dull headache and exophthalmos.
Left carotid angiography revealed a large area of aneurysmal dilatation at the, bifurcation of the internal carotid artery and extravasation of contrast medium around the sella, turcica and middle fossa region. No fracture was noted in the skull films. Synchronous bruit and thrill on the left eye-ball was noted but this was easily disappeared by digital compression on the left carotid artery. The exophthaImometric and tonometric examination revealed 12 mm (O.D.), 18 mm (O. S.) and 15 mmHg (O.D.), 12-30 mmHg(O.S.). Fundus picture showed no signs of arteriosclerosis.
Following conclusions were discussed:
1. Rupture of the internal carotid artery by slight head trauma, may occur without any significant predisposing factors such as arterial aneurysm or arteriosclerosis.
2. The sphenoid syndrome developed at the beginning of the disease could be attributed to the elevation of. the cavernous sinus pressure.
3. Early elevation of the intraocular pressure may be associated with that of the venous pressure.
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