Post-traumatic orbitorrhea: An underestimated life-threatening complication following anterior skull base fractures.

European Journal of Ophthalmology
Arnaud MartelArnaud Dagain

Abstract

Orbitorrhea is defined as a leak of cerebrospinal fluid from a cranio-orbital fistula. It is usually related to anterior skull base trauma. Orbitorrhea is an exceptional and life-threatening condition which should be promptly managed. We herein report the case of a right post-traumatic orbitorrhea following anterior skull base trauma. Conservative treatment was initially attempted. At 6 weeks, recurrence was noted, and the patient underwent neurosurgical management. A few months later, a secondary upper lid retraction was diagnosed and treated by full-thickness skin graft with favourable outcome. To our knowledge, fewer than 30 cases have been previously reported. Ophthalmologists should be aware of this life-threatening condition which could be underestimated.

References

Jun 1, 1985·Journal of Neurosurgery·P A SibonyA G Zippen
Jan 1, 1967·Journal of Neurosurgery·B W Brawley, W A Kelly
Jul 1, 1951·A.M.A. Archives of Ophthalmology·A B KING
Jul 25, 2006·Neurosurgical Focus·K SalameG E Ouaknine
Mar 14, 2014·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Alexandra O ApkarianJonathan D Trobe
Aug 29, 2018·Journal of Surgical Case Reports·Aniruddha A ShethMark Lam

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