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Related Experiment Videos

Late posttraumatic nonvascular pulsating eye.

P J Koehler1, G Blaauw

  • 1Department of Neurology, De Wever-Ziekenhuis, Heerlen, The Netherlands.

Acta Neurochirurgica
|January 1, 1992
PubMed
Summary
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A patient experienced pulsating eye due to orbital encephalocele and hydrocephalus after head trauma. Treating hydrocephalus resolved the eye pulsations and improved gait.

Area of Science:

  • Neurology
  • Neurosurgery
  • Ophthalmology

Background:

  • Orbital encephalocele and hydrocephalus are rare conditions that can arise after significant head trauma.
  • Unilateral intermittent pulsating eye is an unusual symptom that can be associated with complex neurological and structural abnormalities.

Observation:

  • A patient presented with a unilateral intermittent pulsating eye, a symptom attributed to the co-occurrence of an orbital encephalocele and hydrocephalus.
  • These symptoms manifested 34 years following an initial head injury, highlighting the long-term sequelae of such trauma.

Findings:

  • Successful treatment of the hydrocephalus led to the complete resolution of the pulsating eye symptom.
  • The treatment also resulted in the reduction of the orbital encephalocele and a notable improvement in the patient's gait.

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Implications:

  • This case underscores the importance of considering and treating hydrocephalus in patients presenting with complex neurological symptoms, even years after the initial injury.
  • Effective management of hydrocephalus can alleviate associated structural abnormalities and significantly improve neurological function and quality of life.