Cerebrospinal fluid leakage during dacryocystorhinostomy in a patient with meningoencephalocele.
OBJECTIVE
To report a rare case of cerebrospinal fluid leakage during dacryocystorhinostomy in a patient with Mobius syndrome and meningoencephalocele and to explain our experience in the management of this complication.


METHODS
A 9-year-old girl with a history of surgically repaired fronto-ethmoidal meningoencephalocele and bilateral canthopexy was diagnosed with Mobius syndrome and underwent sequential bilateral dacryocystorhinostomy and silicone intubation because of dysgenesis of the lacrimal drainage pathway.


RESULTS
Both dacryocystorhinostomies resulted in cerebrospinal fluid leakage, which spontaneously ceased with conservative management.


CONCLUSIONS
Dacryocystorhinostomy surgery in patients with a history of trauma or surgery or congenital defects around the base of the nose or lacrimal system may rarely result in cerebrospinal fluid leakage; thus an ophthalmologist should be familiar with its management.
Department of Ophthalmology and Ophthalmic Research Center, Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran - Iran. abbasbagheri@yahoo.com
A
A
Bagheri
J
J
Naghibozakerin
S
S
Yazdani
D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology* / Q000503:physiopathology; D002648:Child; D003608:Dacryocystorhinostomy / Q000009:adverse effects*; D004677:Encephalocele / Q000150:complications* / Q000000981:diagnostic imaging; D005005:Ethmoid Sinus / Q000000981:diagnostic imaging; D005260:Female; D005626:Frontal Sinus / Q000000981:diagnostic imaging; D006801:Humans; D007431:Intraoperative Complications; D007440:Intubation; D008588:Meningocele / Q000150:complications* / Q000000981:diagnostic imaging; D020331:Mobius Syndrome / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed