title: [Oculorrhea after facial fracture and anterior skull base fracture].
abstract: Leakage of cerebrospinal fluid (CSF) from a cranio-orbital fistula, i.e. oculorrhea, is rare after skull trauma with fewer than 30 patients reported in Western literature. Here, we for the first time report a Swedish patient. A 75-year-old male sustained a mid-facial injury due to a bicycle accident. The CT-scan showed, among other things, a fracture in the orbital roof, involving lamina cribrosa and lamina papyracea. The patient had epiphora and laboratory analysis showed CSF leakage. This diagnosis should be kept in mind when excessive tearing appears in mid-facial trauma and treatment should be considered, otherwise serious complications may occur.
authors.affiliation: Länssjukhuset i Kalmar - Öron-näs- och halskliniken Kalmar, Sweden - Kalmar, Sweden.
authors.forename: Daniel
authors.initials: D
authors.lastname: Andersson
authors.affiliation: Länssjukhuset i Kalmar - Öron- näs- och halskliniken Kalmar, Sweden Öron- näs- och halskliniken - Kalmar, Sweden.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Kjellén
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D001642:Bicycling; D065634:Cerebrospinal Fluid Leak / Q000209:etiology*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology*; D009917:Orbital Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D020205:Skull Fracture, Basilar / Q000150:complications* / Q000000981:diagnostic imaging