Non-Traumatic Subperiosteal Orbital Hematoma After Cardiopulmonary Resuscitation: A Case Report.

Int Med Case Rep JOct 28, 2026 (epub)
Case ReportOphthalmologyRadiology (Diagnostic)Emergency MedicineOpen access

Yong Yuin Chong, Jun Fai Yap, Sylves Patrick et al.

✦ AI-curated · Sources linked

Case in brief

A 48-year-old woman with end-stage renal disease had a cardiac arrest during hemodialysis and received 24 minutes of CPR, with return of spontaneous circulation. Brain CT incidentally showed a 2.6 × 2.4 × 1.2 cm acute subperiosteal hematoma along the right orbital roof, displacing the superior rectus inferiorly. She had mild proptosis and upper-eyelid swelling, but normal intraocular pressure and no relative afferent pupillary defect; blood counts and coagulation results were normal. With no clinical evidence of orbital compartment syndrome, the hematoma was managed conservatively. She died 24 hours later after a recurrent arrest due to myocardial infarction.

What made this case unusual

The report describes non-traumatic subperiosteal orbital hemorrhage after CPR, with the authors proposing transient intrathoracic pressure increases during chest compressions as a possible association.

Diagnostic / clinical pearl

New proptosis or periorbital swelling after CPR should prompt ophthalmic assessment for orbital hemorrhage and signs of sight-threatening compartment syndrome.

Source

PubMed · PMID 42968968Free full text on PubMed Central

Published in Int Med Case Rep J. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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