title: Posttraumatic delayed cranio-orbital cerebrospinal fluid leakage: case report.
abstract: A 56-year-old man sustained subarachnoid haemorrhage, skull base fracture and multiple facial fractures in a traffic accident. Two weeks later, the patient developed a subperiosteal fluid collection into the orbit of the right side presenting with a progressive proptosis and an increased intraocular pressure. We performed drainage of the fluid on the superior part of the right orbit, followed by a surgical reduction of the facial fractures. The patient had no exophthalmos any longer, whose intraocular pressure was normalised. In conclusion, our case indicates that careful monitoring of clinical signs and a follow-up radiography would be mandatory for patients with craniocerebral trauma despite a lack of the definite symptoms. Clinicians should consider the possibility that the cerebrospinal fluid (CSF) leakage into the orbit might occur in these patients.
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Rha
authors.forename: Ji Hwan
authors.initials: JH
authors.lastname: Kim
authors.forename: Jun Hee
authors.initials: JH
authors.lastname: Byeon
mesh_terms: D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019299:Decompression, Surgical; D005094:Exophthalmos / Q000209:etiology; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D021621:Imaging, Three-Dimensional; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000150:complications / Q000209:etiology*; D019291:Skull Base / Q000293:injuries; D013345:Subarachnoid Hemorrhage / Q000150:complications; D013997:Time Factors; D014057:Tomography, X-Ray Computed