Traumatic cerebrospinal fluid oculorrhea managed with an external ventricular drain

Journal of Surgical Case Reports
Aniruddha A ShethMark Lam

Abstract

Cerebrospinal fluid (CSF) leaks following head injuries are rare complications with significant morbidity and mortality if left untreated. CSF oculorrhea secondary to a cranio-orbital fistula is a rare presentation of this complication. Standard treatment for a CSF leak involves management of intracranial pressure, CSF diversion and surgical repair of any dural defect. Lumbar drains have commonly been inserted to aid in diverting CSF. We describe a case of a 16-year-old male who presented with an open comminuted depressed skull fracture and CSF oculorrhea. Following a bifrontal decompressive craniectomy, he was successfully treated with CSF diversion following a conservative trial using an external ventricular drain. The use of an external ventricular drain for this purpose has not been described in the literature to date. We report this case as a method of demonstrating the use of an external ventricular drain to adequately divert CSF.

References

Jul 25, 2006·Neurosurgical Focus·K SalameG E Ouaknine
Aug 9, 2011·Otolaryngologic Clinics of North America·J Drew ProsserC Arturo Solares
Dec 20, 2014·The Journal of Emergency Medicine·Adam D RowhRichard A Harrigan
Nov 4, 2016·British Journal of Neurosurgery·See Yung PhangPeter C Whitfield

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