Abstract:
INTRODUCTION:Although orbital compartment syndrome is a rare condition, it is still the most common cause of blindness following simple or complicated facial fractures. Its pathomechanism is similar to the compartment syndrome in the limb. Little extra fluid (blood, oedema, brain, foreign body) in a non-space yielding space results with increasingly higher pressures within a short period of time. Unless urgent surgical intervention is performed the blocked circulation of the central retinal artery will result irreversible ophthalmic nerve damage and blindness. Aim, material and method: A retrospective analysis of ten years, 2007-2017, in our hospital among those patients referred to us with facial-head trauma combined with blindness. RESULTS:571 patients had fractures involving the orbit. 23 patients become blind from different reasons. The most common cause was orbital compartment syndrome in 17 patients; all had retrobulbar haematomas as well. 6 patients with retrobulbar haematoma did not develop compartment syndrome. Compartment syndrome was found among patient with extensive and minimal fractures such as with large and minimal haematomas. Early lateral canthotomy and decompression saved 7 patients from blindness. CONCLUSION:We can not predict and do not know why some patients develop orbital compartment syndrome. Compartment syndrome seems independent from fracture mechanism, comminution, dislocation, amount of orbital bleeding. All patients are in potential risk with midface fractures. We have a high suspicion that orbital compartment syndrome has been somehow missed out in the recommended textbooks of our medical universities and in the postgraduate trainings. Thus compartment syndrome is not recognized. Teaching, training and early surgical decompression is the only solution to save the blind eye. Orv Hetil. 2017; 158(36): 1410-1420.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Klenk G,Katona J,Kenderfi G,Lestyán J,Gombos K,Hirschberg Adoi
10.1556/650.2017.30850subject
Has Abstractpub_date
2017-09-01 00:00:00pages
1410-1420issue
36eissn
0030-6002issn
1788-6120journal_volume
158pub_type
杂志文章相关文献
ORVOSI HETILAP文献大全abstract::The clinical characteristics of nodular goitres: relatively frequent (4-7%), diagnostic difficulties deriving from heterogeneity as well as the marked difference of treatment and prognosis. In the case of nodules the possibility of malignancy must always be considered, though the incidence is less than 5%. The pathoge...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-08 00:00:00
abstract::Body mass--strictly speaking: the adipose tissue mass--is regulated in a feed-back system by the hypothalamus and brainstem, where adiposity signals (leptin, insulin, amylin) and intestinal peptides (ghrelin, PYY, PP, GLP-1, OXM, CCK) and the vagal nerve provide afferent information to the central controller on the si...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2007.28085
更新日期:2007-09-30 00:00:00
abstract:INTRODUCTION:Early diagnosis of sex chromosome abnormalities is important because of prevention, family planning and optimal therapy. AIM:Investigation of the relationship between phenotype, age at time of diagnosis and therapeutic options in sex chromosome aberrations. METHOD:Processing data of 51 children with sex ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2018.31081
更新日期:2018-07-01 00:00:00
abstract::This article reviews the recent changes in the understanding of acute pancreatitis pathophysiology emphasizing results deriving from the more detailed comprehension of the local and systemic aspects of the inflammatory process. The authors briefly discuss those theories that have been influencing the basic philosophie...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:2000-02-06 00:00:00
abstract::Over the past decades, 18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer. This modern imaging technique combining functional and morphologic information has approved indications not only in oncology but in clinical cardiology as well. In th...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/650.2019.31414
更新日期:2019-06-01 00:00:00
abstract::The oxygen uptake of the living organism through the cardiorespiratory system is one of the most basic physiological procedures, and the capacity for the oxygen uptake is an important parameter of both the health and the performance of the living organism. During the past decade several experiments have been performed...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2009.28435
更新日期:2009-01-25 00:00:00
abstract::The authors examined 25 children with allergic rhinitis, who were sensitive to grass, weed and tree pollens. During the allergic season nasal lavage was performed then repeated after 4 weeks of loratadine treatment. Tryptase, IL-5, ECP, TNF-alpha and RANTES levels were measured from the nasal lavage fluid. Tryptase, I...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:2001-08-26 00:00:00
abstract::Vasculitis is a heterogeneous group of rare disorders in which inflammation of blood vessels is the common feature. Due to the increasing number of diseases as well as overlaps and gaps in the definition and nomenclature, the classification criteria were constantly changing in the past decades. The classifications wer...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2013.29704
更新日期:2013-10-06 00:00:00
abstract::Transplantation of pancreatic gland with systemic venous drainage of the graft causes elevated plasma levels of insulin. To examine lipid metabolism triglyceride clearance capacity, lipolytic enzymes, plasma lipids and lipoproteins were quantified in pancreas-kidney transplant recipients and compared them to lipid par...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1995-11-26 00:00:00
abstract:UNLABELLED:Acute mesenteric ischemia is a rare disorder; it occurs on average of 0.4% of acute surgery cases. Its diagnosis is often difficult because of the poor symptoms, and mortality of the patients is still as high as 70-90%. AIMS:The aims of the study were to assess the importance of time factor that may influen...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2012.29444
更新日期:2012-09-09 00:00:00
abstract:INTRODUCTION:Carotid artery stenting has become a possible treatment of significant carotid stenosis. The risk of stent occlusion and restenosis might be increased by abnormal rheological conditions amplified platelet aggregation and free radical production during the operation. AIMS:The aim of this study was to asses...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2007.28240
更新日期:2007-12-16 00:00:00
abstract:UNLABELLED:Statin therapy is the cornerstone of anti-atherosclerotic treatment, and it considered obligatory in the secondary prevention of atherosclerotic diseases. Rosuvastatin is well-known and efficacious lipid-lowering agent. Generic drugs are more frequently used instead of its ancestors. Generic rosuvastatin for...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2012.29390
更新日期:2012-06-03 00:00:00
abstract::Cancer research concerning short non-coding RNA sequences and functionally linked to RNA interference (RNAi) have reached explosive breakthrough in the past decade. Molecular technology applies microRNA in extremely wide spectrum from molecular tumor prediction, diagnostics, progression monitoring and prevention. Func...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2011.29066
更新日期:2011-04-17 00:00:00
abstract::Oncotherapy has been revolutionised by the introduction of immune-checkpoint inhibitors including CTLA4, PD1 and PDL1 inhibitors. Patients with malignant diseases may largely benefit from these therapies, which may result in long-term remission even in the most therapy-resistant tumour types. Differences in the mode o...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2019.31392
更新日期:2019-06-01 00:00:00
abstract::Amantadine prophylaxis was performed in 91 patients during influenza A epidemics. It was used for patients with chronic heart, pulmonary and metabolic disease, for immundeficienty and elderly patients. Patients with gravidity, lactation, epilepsy, peptid ulcer or serious liver disorder were excluded from prophylaxis. ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1996-01-28 00:00:00
abstract::The authors investigated the difficulties of differential diagnosis in diabetes, beginning in young age. They analysed the case records of fifteen young diabetics. The authors pointed out, that clinical diagnosis, carried out early, has utmost importance both of theoretical and practical significance, for correct clas...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1993-07-25 00:00:00
abstract::Bacterial vaginosis being the most frequent vaginal infection is the leading cause of genital fluor. The author reviews the latest developments regarding the etiology, diagnostics and therapy of disease. Per os metronidazol and intravaginal clindamycin play the main role in treatment. The most often occurring complica...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:1998-06-07 00:00:00
abstract:OBJECTIVES:The aim of the study is to examine the role of transesophageal echocardiography (TEE) in the diagnosis of anomalies and anatomic variations of the coronary arteries. BACKGROUND:In the past, coronary angiography was the only method for diagnostic confirmation in all cases with coronary anomalies, but even du...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1998-09-13 00:00:00
abstract::Leiomyoma is a rare, smooth muscle tumour that can occur everywhere in the human body. The authors present the history of a 60-year-old female, who had a giant, Mullerian type myxoid leiomyoma in the inguinal region mimicking acute abdominal symptoms. After examination the authors removed the soft tissue mass in the r...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2016.30374
更新日期:2016-03-06 00:00:00
abstract::Although an impressive progress has been achieved in the treatment of cardiovascular diseases, they are at the top of the mortality statistics in Hungary. Prevention of these diseases is an essential task of the primary health care. Cardiovascular prevention is carried out at primary, secondary and tertiary levels usi...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2012.29442
更新日期:2012-09-30 00:00:00
abstract::Myocardial infarction is the leading cause of congestive heart failure in the industrialized world. Current treatments fail to address the underlying scarring and cell loss, which are the causes of ischaemic heart failure. Recent interest has focused on stem cells, which are undifferentiated and pluripotent cells that...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:2005-11-20 00:00:00
abstract:UNLABELLED:Treatment and prognosis of bacteremias caused by Staphylococcus aureus is different, whether only bacteremia is present or it is complicated with endocarditis. Transoesophageal echocardiography may have a role in evaluation of bacteremias caused by Staphylococcus aureus to confirm or exclude infective endoca...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2007.27721
更新日期:2007-01-14 00:00:00
abstract::The metabolic syndrome is one of the most common disease of our era that may cause numerous complications. There are some studies showing the need to take attention to the hepatic manifestation of the metabolic syndrome besides its already well-known consequences. In most of the cases there are histopathological evide...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:2004-07-18 00:00:00
abstract::Since its introduction in 1976, the impact factor is permanently a subject of both criticism and glorification. This paper gives an overview on what actually the reservations and objections attack. A closer look often reveals that the criticisms are not against the specific substantial features of the impact factor. T...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2015.30212
更新日期:2015-06-28 00:00:00
abstract::Bariatric surgery is more effective in the management of morbid obesity and related comorbidities than conservative therapy. There are two main groups, restrictive and malabsorptive procedures. Laparoscopic gastric plication with pylorus-preserving loop duodenoileal bypass is classified into the latter group. It shoul...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2019.31509
更新日期:2019-10-01 00:00:00
abstract:UNLABELLED:Using quantitative sacroiliac joint scintigraphy for identifying patients with active sacroiliitis the diagnosis is relied on the abnormally high values of sacroiliac (SI) index. However, the normal range of SI index and the threshold for detecting the disease are still under discussion in the literature. A...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2009.28643
更新日期:2009-08-16 00:00:00
abstract::This study gives a brief survey of the mechanisms initiating and executing cardiovascular adjustments to physical activity. The maximum physiological changes in cardiovascular functions are produced by endurance exercise. However, the advantageous effects of physical exercise might have a preventive role for cardiovas...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1993-06-06 00:00:00
abstract::Primary spinal tumors are rare diseases. Primary spinal tumor registry would be useful to help decision making in this complex field of spine surgery. In this article the authors present the latest findings from the Primary Spinal Tumor Registry at the National Centre for Spinal Disorders, Hungary. The registry is bas...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2014.29920
更新日期:2014-05-11 00:00:00
abstract:INTRODUCTION:Mutations in Janus kinase 2, calreticulin and thrombopoietin receptor genes have been identified in the genetic background of Philadelphia chromosome negative, "classic" myeloproliferative neoplasms. AIM:The aim of the authors was to identify driver mutations in a large myeloproliferative cohort of 949 pa...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2014.30051
更新日期:2014-12-28 00:00:00
abstract::Inherited errors of metabolism are rare genetic disorders characterized by diverse clinical and biochemical phenotypes. The complexity of signs and symptoms often presents a challenge for both clinicians and laboratory specialists. In many cases, prevention of permanent neurological symptoms or death in patients prese...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/650.2017.30899
更新日期:2017-12-01 00:00:00