Orbital Roof "Blow-in" Fracture: A Case Report and Review

Authors

  • Austin L Jones
  • Kenneth E Jones

DOI:

https://doi.org/10.3941/jrcr.v3i12.363

Keywords:

superior orbital fracture, orbital roof "blow-in" fracture, computed tomography, CT head, CT orbits

Abstract

We report a relatively rare case of an essentially isolated orbital roof "blow-in" fracture in a pediatric patient.  A 13-year-old male presented with headache and nausea following blunt facial trauma sustained during a skate boarding accident.  CT head revealed soft tissue swelling and an abnormal bony density in the superior, posterior right orbital region.  Follow-up CT orbits revealed a comminuted orbital roof "blow-in" fracture with involvement of the ethmoid air cells and two tiny foci of intracranial air.  Expert consultation revealed normal ophthalmologic and neurologic examination; conservative management was recommended.  The case report is followed by a brief overview of orbital fractures including pertinent radiographic considerations.

Author Biographies

Austin L Jones

Diagnostic Radiology Resident, University of Missouri-Kansas City School of Medicine

Department of Radiology, St. Luke's Hospital of Kansas City

4401 Wornall Rd.

Kansas City, MO  64111

Kenneth E Jones

Medical Director of Radiology

Department of Radiology, Golden Valley Memorial Hospital

1600 N. Second St.

Clinton, MO  64735

Pictorial review: Imaging features of unusual patterns and complications of hydatid disease by Umar Amin et al.

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Published

2009-11-27

Issue

Vol. 3 No. 12 (2009)

Section

Neuroradiology

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