case_images: PMC7276167_01
case_images: Patient at presentation
case_images: MEAJO-27-65-g001.jpg
case_images: PMC7276167_01_MEAJO-27-65-g001.jpg
case_images: F1
case_images: The external examination showed swelling of the bilateral upper lid with left inferior dystopia [Figure 1].
case_images: Magnetic resonance imaging of the brain and orbit (coronal view) with contrast showed heterogeneous signal intensity with a peripheral diffusion restriction and faint peripheral enhancement, representing multiple bony infarctions and subperiosteal hematomas within the frontoparietal region bilaterally
case_images: MEAJO-27-65-g002.jpg
case_images: PMC7276167_01_MEAJO-27-65-g002.jpg
case_images: F2
case_images: T2-W image. These results occurred with a peripheral diffusion restriction and faint peripheral enhancement, representing multiple bony infarctions and subperiosteal hematomas within the frontoparietal region bilaterally. The MRI also showed a well-defined extraconal lesion, likely to be a hematoma, arising from a superior lateral orbital wall of the left eye, causing mass effect on the ipsilateral lacrimal gland as well as the left lateral rectus muscle [Figure 2].
case_images: Intraoperative appearance of the frontal bone
case_images: MEAJO-27-65-g003.jpg
case_images: PMC7276167_01_MEAJO-27-65-g003.jpg
case_images: F3
case_images: Interestingly, the bone appeared gray, which may correlate to the bony infarction seen on MRI [Figure 3].
case_images: Complete resolution of the periorbital swelling
case_images: MEAJO-27-65-g004.jpg
case_images: PMC7276167_01_MEAJO-27-65-g004.jpg
case_images: F4
case_images: During the follow-up visit, the patient's pain decreased, and the dystopia improved [Figure 4].