Acute traumatic orbital cerebrospinal fluid cystocele mimicking orbital abscess.
Posttraumatic cranio-orbital cerebrospinal fluid (CSF) fistula is rare, occurring when there is a communication between orbit and subarachnoid space. This communication can be caused by orbital tumors with intracranial extension or can be a result of orbital surgery. Low suspicion for traumatic orbital CSF fistula can lead to delay in diagnosis, which increases the risk of meningitis. We report a cranio-orbital CSF cystocele and fistula that mimicked orbital cellulitis in a 3-year-old boy following an orbitocranial penetrating injury.
Twaij
Suhair
S
Ophthalmology Department, The Royal Victoria Hospital, Belfast, Northern Ireland. stwaij@hotmail.com
Viswanathan
Palpandian
P
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D000038:Abscess / Q000000981:diagnostic imaging*; D000208:Acute Disease; D002555:Cerebrospinal Fluid; D002675:Child, Preschool; D003560:Cysts / Q000000981:diagnostic imaging* / Q000209:etiology; D003937:Diagnosis, Differential; D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000209:etiology; D015807:Eye Injuries, Penetrating / Q000150:complications; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D014057:Tomography, X-Ray Computed