Skip to main content
Log in

A child with raccoon eyes masquerading as trauma

  • Case Report
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Raccoon eyes are easily recognized and generally believed to be a common symptom of basal skull fractures. However, it may be a sign of some health threatening situations such as amyloidosis, Kaposi’s sarcoma, multiple myeloma, and neuroblastoma. In this case, we present an infant with the final diagnosis of neuroblastoma who presented with raccoon eyes and was initially suspected of being a victim of child abuse. The exact diagnosis of this condition is sometimes delayed because of the workup for child abuse or trauma as occurred in the present case. Consequently, in order to avoid this conflict and possible delay of diagnosis and treatment, raccoon eyes should be considered meticulously and one should not be prejudiced until he / she reaches the exact diagnosis. We are presenting this well-known but interesting case in order to attract attention in this important issue once again.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Herbella FA, Mudo M, Delmonti C, et al (2001) ‘Raccoon Eyes’ (periorbital haematoma) as a sign of skull base fracture. Injury 32:745–747

    Article  PubMed  CAS  Google Scholar 

  2. van Woerkom JM, van Toom DW (2000) A domestic fight or something else? Nephrol Dial Transplant 15:1253–1254

    Article  PubMed  Google Scholar 

  3. Schwartz RA, Spicer MS, Thomas I, et al (1995) Ecchymotic Kaposi’s sarcoma. Cutis 56:104–106

    PubMed  CAS  Google Scholar 

  4. Loo H, Forman WB, Levine MR, et al (1982) Periorbital ecchymoses as the initial sign in multiple myeloma. Ann Ophthalmol 14:1066–1068

    PubMed  CAS  Google Scholar 

  5. Timmerman R (2003) Images in clinical medicine. Raccoon eyes and neuroblastoma. N Engl J Med 349(4):e4

    Article  Google Scholar 

  6. Haase GM, Perez C, Atkinson JB (1999) Current aspects of biology, risk assessment and treatment of neuroblastoma. Semin Surg Oncol 16:91–104

    Article  PubMed  CAS  Google Scholar 

  7. Brodeur GM, Maris JM (2001) Neuroblastoma. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology, 4th edn. Lippincott-Raven, Philadelphia, pp 895–937

    Google Scholar 

  8. Weinstein JL, Katzenstein HM, Cohn SL (2003) Advances in the diagnosis and treatment of neuroblastoma. Oncologist 8:278–292. Review

    Article  PubMed  Google Scholar 

  9. Musarella MA, Chan HS, DeBoer G, Gallie BL (1984) Ocular involvement in neuroblastoma: prognostic implications. Ophthalmology 91:936–940

    PubMed  CAS  Google Scholar 

  10. Matthay KK, Blaes F, Hero B, et al (2005) Opsoclonus myoclonus syndrome in neuroblastoma a report from a workshop on the dancing eyes syndrome at the advances in neuroblastoma meeting in Genoa, Italy, 2004. Cancer Lett 228(1–2):275–282. Review

    Google Scholar 

  11. Deakin CD (1995) Bilateral periorbital hematoma (raccoon eyes) following thoracic crush injuries: case reports. J Trauma 38:816–817

    Article  PubMed  CAS  Google Scholar 

  12. Falk RH, Comenzo RL, Skinner M (1997) The systemic amyloidosis. N Engl J Med 337:898–909

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgement

I want to thank Aytemiz Gurgey, MD, professor of pediatric hematology (Hacettepe University, Faculty of Medicine, Ankara, Turkey), for her help in bone marrow examination.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Koray Gumus.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gumus, K. A child with raccoon eyes masquerading as trauma. Int Ophthalmol 27, 379–381 (2007). https://doi.org/10.1007/s10792-007-9089-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-007-9089-y

Keywords

Navigation