Periorbital Ecchymosis: Causes & Reasons

Possible Causes for Periorbital Ecchymosis

ecchymosis Palpation and direct visualization of nasal septum to rule out septal hematoma Helpful to see photo of patient prior to injury Does not require radiographic imaging [medicine.uiowa.edu]

The presence of epistaxis, nasal swelling, and periorbital ecchymosis are signs that are suggestive of significant nasal trauma and warrant a thorough internal and external [clinicalgate.com]

Physical examination findings include swelling over the nasal bridge, grossly apparent deviation of the nasal bones, and periorbital ecchymosis. [emedicine.medscape.com]

Skull Fracture

Home | CCC | Base of Skull Fracture by, last update March 30, 2019 OVERVIEW fracture involving the floor of the cranial vault CLINICAL FINDINGS Periorbital ecchymosis (raccoon [lifeinthefastlane.com]

[…] by, Last updated August 18, 2013 OVERVIEW fracture involving the floor of the cranial vault CLINICAL FINDINGS Periorbital ecchymosis (Raccoon eyes) CSF rhinorrhoea CSF otorrhoea [lifeinthefastlane.com]

ecchymosis often called 'raccoon eyes' (bruising of the orbits of the eyes that result from blood collecting there as it leaks from the fracture site); and retroauricular [en.wikipedia.org]

Neuroblastoma

Periorbital ecchymosis and proptosis may occur with retrobulbar metastasis. [web.archive.org]

These include bone pain due to widespread bone metastases, periorbital ecchymosis and proptosis due to retrobulbar metastasis, and abdominal distention and respiratory problems [merckmanuals.com]

ecchymosis (raccoon eyes), or Horner syndrome due to mass effects back pain or spinal mass, weakness, scoliosis, bone pain with anemia or hematopoietic changes as a sign [clinicaladvisor.com]

Rhinoplasty

TXA had a statistically significant effect on the eyelid edema (P = 0.03), periorbital ecchymosis (P = 0.04), and surgeon satisfaction (P = 0.03). [ncbi.nlm.nih.gov]

Persistent edema: Initial edema and periorbital ecchymosis may last 10 days. [emedicine.medscape.com]

Eyelid edema and periorbital ecchymosis were evaluated using 0-4 points scoring system. Surgeon satisfaction was measured by asking questions of the surgeon. [ncbi.nlm.nih.gov]

Basilar Skull Fracture

Physical examination is notable for periorbital and retroaurticular ecchymosis without evidence of a CSF leak. [step2.medbullets.com]

Periorbital ecchymosis, or "raccoon eyes," is a classic diagnostic sign of basilar skull fracture. [hakeem-sy.com]

 Signs/symptoms of Basilar Skull Fracture: Blood in ear canal Hemotympanum Rhinorrhea/Otorrhea Battle's sign (retroauricular hematoma) Raccoon sign (periorbital ecchymosis [slideshare.net]

Zygomatic Fracture

Facial bruising, periorbital ecchymosis, soft tissue gas, swelling, trismus, altered mastication, diplopia, and ophthalmoplegia are other indirect features of the injury. [en.wikipedia.org]

Neurosensory disturbance, periorbital ecchymosis, malar depression, subconjunctival haemorrhage, trismus and diplopia were recorded. [jpma.org.pk]

On clinical examination revealed swelling over the left side of the face with restricted mouth opening, periorbital ecchymosis and subconjuctival haemorrhage without posterior [pubs.sciepub.com]

Maxillary Fracture

Maxilla moves as a whole when grasped above upper teeth Crepitus LeFort II Face appears abnormally long Periorbital ecchymosis Central face moves as a whole when grasped [fprmed.com]

Nasal bones should be X-rayed when: There is swelling and deformity of the nasal dorsum, epistaxis and periorbital ecchymosis; There is nasal obstruction; There is septal [rch.org.au]

“Panda facies” within 24 to 48 hours • Bilateral circumorbital/periorbital ecchymosis and gross edema ’Racoon eye • Gross circumorbital edema will prevent eyes from opening [slideshare.net]

Thoracic Neuroblastoma

Proptosis and periorbital ecchymosis (‘raccoon eyes’) are common and arise from retrobulbar metastases. [nature.com]

Tumor infiltration of the periorbital bones, typically unilateral, can cause the characteristic periorbital ecchymosis ("raccoon eyes") (Figure 1). [telemedicina.med.muni.cz]

Infiltration of periorbital bones may produce periorbital ecchymosis, ptosis and proptosis. [pedclerk.bsd.uchicago.edu]

Temporal Bone Fracture

Frequently, a longitudinal fracture may present with ear injuries, mastoid ecchymosis (Battle's sign) or periorbital ecchymosis (raccoon eyes), tympanic membrane laceration [visualdx.com]

Red flags CSF otorrhoea / rhinorrhoea Facial nerve paralysis Post-auricular or periorbital ecchymosis Haemotympanum / pinna haematoma / lacerations Severe nystagmus Vertigo [entsho.com]

Subperiosteal Hemorrhage

Diagnosis, Workup and Treatment This patient presented with a two-day history of sudden left eye proptosis and mild periorbital ecchymosis. [reviewofophthalmology.com]

There is evidence of mild proptosis and periorbital ecchymosis Click here to view Figure 2: Postcontrast axial image showing a subperiosteal isointense lesion in the left [neurologyindia.com]

Notes: ( A ) Clinical photograph of patient showing right eye mild subconjuctival hemorrhage and left eye abaxial proptosis with subconjuctival hemorrhage and periorbital [dovepress.com]

Orbital Emphysema

ecchymosis. [ncbi.nlm.nih.gov]

ecchymosis or emphysema (n = 14), and adhesions (n = 35). (2) [FIGURE A OMITTED] Traumatic periorbital emphysema secondary to orbital wall fractures is common. [thefreelibrary.com]

Differential diagnosis Periorbital ecchymosis without fracture, in which there may be limitation in extraocular movement, not limiting to horizontal gaze. [eyewiki.aao.org]

Kasabach-Merritt Syndrome

Extensive bilateral periorbital ecchymosis was documented with bilateral subconjunctival haemorrhage with no discharge (Figure 1B). [ncbi.nlm.nih.gov]

We report a two- and- half month old Saudi female infant who presented with epistaxis, conjunctival haemorrage and bilateral periorbital ecchymosis. [ncbi.nlm.nih.gov]

(A) Extensive bilateral periorbital ecchymosis (B) Apparent bilateral subconjunctival haemorrhage On routine physical examination, she was ill looking, pale, not cyanosed [ncbi.nlm.nih.gov]

Respiratory Arrest

On examination, he had left malar flattening, left periorbital ecchymosis and edema, and a 3-cm laceration of the eyelid. [ncbi.nlm.nih.gov]

Rathbun Syndrome

Battle's sign may be the only outward sign of basilar skull fracture, or it may be accompanied by periorbital ecchymosis (raccoon eyes), conjunctival hemorrhage, nystagmus [checkorphan.org]

Battle\'s sign may be the only outward sign of basilar skull fracture, or it may be accompanied by periorbital ecchymosis (raccoon eyes), conjunctival hemorrhage, nystagmus [checkorphan.org]

Orbital Floor Fracture

Periorbital ecchymosis and edema accompanied by pain are obvious external signs and symptoms, respectively. [emedicine.medscape.com]

Clinically, blowout fractures are characterized (in order of frequency) by periorbital ecchymosis, diplopia, subconjunctival hemorrhage, enophthalmos (sunken globe), inferior [mdmag.com]

She was initially treated conservatively with antibiotics for right sided periorbital ecchymosis and swelling with intact globe. Visual acuity was normal in both eyes. [omicsonline.org]

Orbital Metastasis

BACKGROUND: Approximately 30% of patients with metastatic (stage M) neuroblastoma present with periorbital ecchymosis from orbital osseous disease. [ncbi.nlm.nih.gov]

Proptosis and periorbital ecchymosis (‘raccoon eyes’) are common and arise from retrobulbar metastases. [nature.com]

Presenting features of the six children were proptosis in four, periorbital ecchymosis in two, ocular motility restriction in two, and subconjunctival haemorrhage in one. [nature.com]

Nasal Packing

BACKGROUND: Periorbital edema and ecchymosis following rhinoplasty is disturbing for both the patients and their surgeons. [ncbi.nlm.nih.gov]

This can be partially attributed to nasal obstruction, facial edema, periorbital swelling and ecchymosis. [journalotohns.biomedcentral.com]

RESULTS: Nasal packing was found to significantly increase the severity and duration of periorbital ecchymosis post rhinoplasty. [ncbi.nlm.nih.gov]

Adrenal Neuroblastoma

These include bone pain due to widespread bone metastases, periorbital ecchymosis and proptosis due to retrobulbar metastasis, and abdominal distention and respiratory problems [msdmanuals.com]

Also it can give rise to periorbital ecchymosis (raccoon eye) when metastasized to the orbit15. [rroij.com]

Painless proptosis, periorbital edema, and ecchymosis of the upper lid are akin with trauma or child abuse. Irritable and fussy infant needs attention. [intechopen.com]

Traumatic Asphyxia

Periorbital ecchymosis and bilateral conjunctival hemorrhages were also seen [Fig.1b]. [casereports.in]

ecchymosis, epistaxis and otorrhagia. [ijcasereportsandimages.com]

ecchymosis and bilateral conjunctival hemorrhage is described. [semanticscholar.org]

Fracture of the Cribriform Plate

Displacement, asymmetry Deformity Eyelid edema Periorbital ecchymosis Periorbital chemosis Subconjunctival hemorrhage Crepitus Internal exam (these suggest fracture) Epistaxis [fprmed.com]

Lacerations, ecchymosis (nasal and periorbital), septal deviation, and nasal obstruction may be present. Septal hematoma appears as a purplish bulge on the septum. [merckmanuals.com]

The clinical examination of the craniofacial skeleton begins with inspection for localized tenderness, numbness, bleeding, asymmetry, deformity, ecchymosis, periorbital edema [skullbaseinstitute.com]

Surgical Bleeding Complication

On day 3 after his Mohs procedure, one 73-year-old man taking ibrutinib for Waldenstrom macroglobulinemia developed extensive bilateral periorbital ecchymosis that extended [mdedge.com]

Ecchymosis on the neck due to tracking of blood in naturally occurring tissue planes. Periorbital ecchymosis. [emedicine.medscape.com]

For example, periorbital edema and ecchymosis are frequent sequelae of surgical procedures performed on the forehead, but they may be unexpected and alarming to the patient [emedicine.medscape.com]

Pulsating Exophthalmos

Severe periorbital ecchymosis and edema were present in both eyes. Extraocular movements were limited due to soft tissue swelling. [healio.com]

Geographic Tongue

Atypical migratory stomatitis and munchausen syndrome presenting as periorbital ecchymosis and mandibular subluxation. stomatitis areata migrans, unlike its analogue on the [lookfordiagnosis.com]

Autosomal Dominant Secondary Polycythemia

Periorbital ecchymosis as a sign of perforating injury of the globe. Clin Experiment Ophthalmol. 2005;33(2):194-196. 2. [consultant360.com]

Periorbital ecchymosis— trauma or tumor? [in German]. Praxis (Bern 1994). 2007;96(2):811-814. 7. Ahmed S, Goel S, Khandwala M, et al. [consultant360.com]

Value of periorbital ecchymosis in the diagnosis of amyloidosis [in French]. Presse Med. 1991;20(14):658. 6. Dober I, Stranzinger E, Kellenberger CJ, Huisman TA. [consultant360.com]

Congenital Macroglossia

ecchymosis. ( 26905771 ) DA-az MejA-a N.M....Caixal G. 2016 31 Symmetric Lipomatosis Arising in the Tongue Presenting as Macroglossia and Articulatory Disorder. ( 27413566 [malacards.org]

ecchymosis. ( 26905771 ) D? [malacards.org]

Ariyaratnam S. 2016 29 A case of symmetrical lipomatosis of the tongue presenting as macroglossia. ( 27427539 ) Cristofaro M.G....Giudice M. 2016 30 Macroglossia and periorbital [malacards.org]

Orbital Apex Syndrome

[…] cellulitis Synonyms: preseptal cellulitis Translation: periorbitale Cellulitis periorbitale Zellulitis präseptale Cellulitis präseptale Zellulitis periorbital ecchymosis [zeitzfrankozeitz.de]

ecchymosis and soft tissue contusion [3] Extensive masses in the region of the superior orbital fissure may be marked by proptosis, eyelid swelling and chemosis [9] It should [eyewiki.aao.org]

There was proptosis, periorbital edema, and ecchymosis, but no subconjunctival hemorrhage. [njms.in]

Depressed Skull Fracture

'Raccoon eyes' (periorbital haematoma) as a sign of skull base fracture. PMID 11754879 ^ Tubbs RS, Shoja MM, Loukas M, wt al. [en.wikipedia.org]

William Henry Battle and Battle's sign: mastoid ecchymosis as an indicator of basilar skull fracture. J Neurosurg. 2010 Jan;112(1):186-8. [en.wikipedia.org]

Abducens Nerve Palsy

On examination there were left periorbital ecchymosis (Panels A through E) and palpable step-off deformities along the left infraorbital rim and zygomatic arch. [nejm.org]

Traumatic Pneumocephalus

On physical examination, the patient had swelling around the left temporal region as well as left periorbital ecchymosis. What is your working diagnosis? [meddean.luc.edu]

AApoAIV Amyloidosis

Signs of orthostatic hypotension, autonomic neuropathy, purpura, bruising, periorbital ecchymosis or macroglossia were absent. [ncbi.nlm.nih.gov]