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Perthes syndrome associated with bilateral optic disc edema
Hidir Esme1, Okan Solak, Yusuf Yurumez
1Department of Thoracic Surgery, Afyon Kocatepe University School of Medicine, Turkey. hesme@aku.edu.tr
Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|January 17, 2007
Summary
This case report details a rare instance of Perthes syndrome (traumatic asphyxia syndrome) with bilateral optic disc edema, a previously undocumented complication. The findings highlight the severe systemic impact of thoracic crush injuries.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Ophthalmology
Background:
- Perthes syndrome, also known as traumatic asphyxia syndrome, arises from severe thoracic crush injuries.
- Typical manifestations include facial petechiae, subconjunctival hemorrhages, and cervical cyanosis.
Observation:
- A patient presented with traumatic asphyxia syndrome after being trapped under a marble block.
- The patient exhibited associated injuries including pulmonary contusion, rib fractures, and liver contusion.
Findings:
- The case is notable for the presence of bilateral optic disc edema, a complication not previously reported in Perthes syndrome.
- This finding suggests a potential link between severe thoracic trauma and increased intracranial pressure or direct optic nerve effects.
Implications:
- This case expands the known clinical spectrum of traumatic asphyxia syndrome.
- It underscores the importance of thorough ophthalmological examination in patients with severe crush injuries.
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