ArticleCureus2024
Unilateral Exophthalmos as the First Sign of Chronic Obstructive Hydrocephalus in a Pediatric Patient: A Case Report.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Orbital complications are rare manifestations of congenital hydrocephalus. We present a case of a child presenting with unilateral exophthalmos and palpebral edema as a result of a chronic increased intracranial pressure and severe enlargement of the ventricular system. The initial presentation in our 13-year-old male patient was progressive right eyelid swelling. Echo-sonography showed right eyelid edema while computed tomography revealed internal hydrocephalus and cerebral edema. In the later course, an enlarging right bulb protrusion occurred, which was repositioned immediately after placing a ventriculoperitoneal shunt. The right eyelid edema decreased in the week following the procedure. The postoperative status was confirmed by magnetic resonance imaging, which also showed a right orbital roof defect. The observed orbital roof defect was considered a cause of the eye bulb protrusion in this case and highlights the possibility of orbital signs as the first manifestations of non-traumatic obstructive hydrocephalus in children.
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