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Emesis-induced sub-periosteal haematoma: a case report
Jennifer R Reid1, Saul N Rajak, C D Good
1Sussex Eye Hospital, Brighton and Sussex University Hospital , Brighton BN2 5BE , United Kingdom and.
Orbit (Amsterdam, Netherlands)
|March 26, 2014
Summary
Orbital sub-periosteal haematoma (OSH), a rare condition usually from trauma, can spontaneously occur due to migraine and vomiting. This case shows OSH can resolve quickly on its own.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Orbital sub-periosteal haematoma (OSH) is typically caused by direct orbital trauma.
- Spontaneous OSH is exceptionally rare, with limited literature available.
Observation:
- This study details a unique case of OSH developing secondary to a severe migraine and intense emesis (vomiting).
- The patient experienced symptoms without any history of direct orbital injury.
Findings:
- The spontaneous OSH in this case demonstrated rapid, natural resolution without surgical intervention.
- Literature review indicates emesis or Valsalva maneuver can induce OSH, with migraine potentially playing a role.
Implications:
- This case expands the understanding of non-traumatic OSH etiology.
- Highlights the potential for spontaneous resolution in certain OSH cases.
- Suggests a possible link between migraines, emesis, and OSH formation, warranting further investigation.

