Iatrogenic Cerebrospinal Fluid Oculorrhea
- Authors
- Chi, Mijung; Kim, H. Jane; Koktekir, Bengu E.; Vagefi, Reza; Kersten, Robert C.
- Issue Date
- Mar-2014
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- Cerebrospinal fluid leak; CSF oculorrhea; CSF orbitorrhea; iatrogenic CSF leak
- Citation
- JOURNAL OF CRANIOFACIAL SURGERY, v.25, no.2, pp.469 - 470
- Journal Title
- JOURNAL OF CRANIOFACIAL SURGERY
- Volume
- 25
- Number
- 2
- Start Page
- 469
- End Page
- 470
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/12823
- DOI
- 10.1097/SCS.0000000000000535
- ISSN
- 1049-2275
- Abstract
- Cerebrospinal fluid leakage into the orbit (CSF orbitorrhea) or through the orbit to the exterior (CSF oculorrhea) occurs when there is a communication between orbit and subarachnoid space. It has rarely been described. We report a case of CSF oculorrhea following surgery for recurrent sphenoid wing meningioma. A 67-year-old patient who underwent craniotomy for a recurrent sphenoid wing meningioma complained of tearing from the ipsilateral eye. Fluid collection was observed in the right periorbital area contiguous with craniotomy wound. With wide retraction of eyelids, a 1-cm longitudinal full-thickness laceration through the conjunctiva toward the lateral orbital rim was visualized in the area of the lateral canthal tendon. Steady leakage of pink-tinged serous fluid through the forniceal laceration was observed. With a presumed diagnosis of iatrogenic CSF oculorrhea, the patient was treated conservatively with resolution by postoperative day 6.
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