DR. ANURADHA SAIYAM

Dr.Abha Shukla

Abstract

CASE PRESENTATION: We describe a case of 22-year male who presented with protrusion of left eyeball that had evolved over a period of 4 months. Six months back he developed right frontal lobe contusion after motorbike accident. Examination revealed axial pulsatile unilateral left eye proptosis with bruit on ausculation. Hertel’s ophthalmometry reading was 14 and 20 mm right and left eye respectively. MRI showed dilated left superior ophthalmic vein, engorged left cavernous sinus with dilated and tortuous peri cavernous internal carotid artery and suspected connection between ICA and cavernous sinus.

CONCLUSION: Trauma can cause proptosis. Proper history, globe palpation, auscultation, CT/MRI brain and orbit play an important role in diagnosis.Differential diagnosis of pulsatile proptosis includes vascular malformations such as carotid-cavernous fistula and arteriovenous malformations, orbital roof fractures, encephalo- or meningoceles, neurosurgical procedures, neurofibromatosis type.