Haematology (drugs and medicines);
Musculoskeletal and joint disorders;
Ophthalmology;
Unwanted effects;
adverse reactions;
Radiology;
D O I:
10.1136/bcr-2022-253860
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
We present a case of a unilateral extraocular muscle haematoma in an adult female patient who was compliant with life-long oral anticoagulation for recurrent deep vein thrombosis. The patient presented with symptoms of sudden-onset left-sided headache radiating to the temporal region, which started 2 days prior. No obvious triggering factors were identified. Cranial and ocular examinations were within normal limits. Imaging revealed a haemorrhage related to the lateral rectus muscle of the left eye. Conservative management was employed with abstinence from anticoagulation for 2 weeks and a weaning regime of oral steroids. Under the clinical review of ophthalmology and interval radiological monitoring, symptoms were reduced with reduction of haemorrhage size. Anticoagulation was reinstated after 2 weeks. To our knowledge, this is the first case of a non-traumatic extraocular muscle haematoma to be reported in a patient on anticoagulation.
机构:
Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25
Sailer A.M.H.
Grutters J.P.
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机构:
Department of Epidemiology, Biostatistics and Health Technology Assessment, Radbouw University Nijmegen Medical Centre, NijmegenDepartment of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25
Grutters J.P.
Wildberger J.E.
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机构:
Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25
Wildberger J.E.
Hofman P.A.
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机构:
Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25
Hofman P.A.
Wilmink J.T.
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机构:
Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25
Wilmink J.T.
van Zwam W.H.
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机构:
Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25Department of Radiology, Maastricht University Medical Centre (MUMC), P. Debyelaan 25
机构:
Sveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Univ JJ Strossmayer, Sch Med, Osijek, CroatiaSveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Budincevic, Hrvoje
Zuna, Petra Crnac
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机构:
Sveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, CroatiaSveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Zuna, Petra Crnac
Saleh, Christian
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机构:
Ctr Hosp Luxembourg, Dept Neurol, Luxembourg, LuxembourgSveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Saleh, Christian
Lange, Nicholas
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机构:
Harvard Med Sch, Dept Psychiat, Boston, MA 02115 USASveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Lange, Nicholas
Piechowski-Jozwiak, Bartlomiej
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机构:
Kings Coll Hosp NHS Fdn Trust, Dept Neurol, London, EnglandSveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Piechowski-Jozwiak, Bartlomiej
Bielen, Ivan
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机构:
Sveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Univ JJ Strossmayer, Sch Med, Osijek, CroatiaSveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia
Bielen, Ivan
Demarin, Vida
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机构:
Int Inst Brain Hlth, Zagreb, CroatiaSveti Duh Univ Hosp, Dept Neurol, Stroke & Intens Care Unit, Zagreb, Croatia