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Traumatic Bilateral Self-Enucleation With Subarachnoid Hemorrhage
James Alford Flippin1,2, Evelyn Truong2, Sami Kishawi1
1Department of Surgery, Division of Trauma, Critical Care, Burns and Emergency General Surgery, MetroHealth Medical Center, Cleveland, OH, USA.
The American Surgeon
|August 30, 2021
Summary
This rare case details traumatic bilateral globe self-enucleation causing brain hemorrhages. It stresses the need for comprehensive trauma evaluation to detect subtle injuries and ensure multidisciplinary care.
Area of Science:
- Trauma Surgery
- Neurosurgery
- Ophthalmology
Background:
- Traumatic globe injuries can present with complex, life-threatening complications.
- Severe mental illness can complicate trauma assessment and patient cooperation.
Observation:
- A rare case of traumatic self-enucleation of bilateral globes was observed.
- This resulted in associated traumatic subarachnoid and intraventricular hemorrhages.
Findings:
- The case underscores the importance of recognizing less obvious injuries, including contralateral optic nerve damage and intracranial hemorrhage.
- A thorough trauma assessment is crucial, particularly with highly distracting injuries.
Implications:
- Multidisciplinary trauma care is essential for managing complex injuries and potential occult trauma.
- Early recognition and management by trauma surgeons, neurosurgeons, and other specialists improve patient outcomes.
