Edema and Related Medical Conditions

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Tuesday, February 06, 2007

Perthes syndrome associated with bilateral optic disc edema.

Perthes syndrome associated with bilateral optic disc edema.
Can J Ophthalmol. 2006 Dec;41

Esme H,
Solak O,
Yurumez Y,
Ermis S,
Yaman M,
Fidan F.

Case report: Perthes syndrome, or traumatic asphyxia syndrome, results from a severe crush injury of the thorax. It manifests itself with facial and upper chest petechiae, subconjunctival hemorrhages, cervical cyanosis, and occasionally neurological symptoms. A patient who had been incarcerated under a block of marble presented with severe traumatic asphyxia syndrome complicated by pulmonary contusion, fractures of the right clavicle and the 8th and 9th ribs, minimal right hemothorax, liver contusion, and bilateral optic disc edema.

Comments: To our knowledge, we present the first case of Perthes syndrome with bilateral optic disc edema.

Full Text Article

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Perthes syndrome. The classical symptom triad as a rarity in trauma surgery practice


Gosling T,
Schmidt U,
Herzog T,
Tscherne H.
Unfallchirugische Klinik, Medizinischen Hochschule Hannover, Carl-Neuberg-Str. 1, 30625 Hannover.

Perthes syndrome or traumatic asphyxia is a condition characterised by subconjunctival hemorrhage, cervicofacial petechiae and cyanosis caused by severe compression of the chest. Diagnosis is made by history and clinical examination. Associated injuries such as intrathoracic or abdominal lesions can be life-threatening and must be strictly assessed. This report demonstrates an illustrative case of this rare injury.


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