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Related Experiment Videos

CSF orbitorrhoea with tension pneumocephalus.

T N Rao1, A K Purohit, Dilnawaz

  • 1Department of Neurosurgery, Nizam's Institute of Medical Sciences Panjagutta, Hyderabad, Andhra Pradesh, 500482, India.

Neurology India
|May 26, 1999
PubMed
Summary

A rare case of cerebrospinal fluid (CSF) orbitorrhoea following orbital trauma and infection is presented. This condition involves CSF leakage from the orbit, leading to serious complications like meningitis.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Orbital trauma can lead to delayed complications, including chronic infection and structural damage.
  • Phthisis bulbi, a consequence of severe ocular injury or inflammation, can predispose to further orbital pathology.
  • Cerebrospinal fluid (CSF) leaks are typically associated with skull base fractures or surgical complications.

Observation:

  • A 78-year-old male presented with a history of penetrating right orbital injury 15 years prior.
  • The patient developed right orbital infection and subsequent phthisis bulbi.
  • Two months before admission, he experienced CSF leak from the right orbit, tension pneumocephalus, and meningitis.

Findings:

  • This case highlights a rare instance of CSF orbitorrhoea, a delayed complication of orbital trauma and infection.

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  • The mechanism likely involves chronic inflammation and tissue erosion creating a fistula between the orbit and the intracranial cavity.
  • The development of tension pneumocephalus and meningitis underscores the severity and potential systemic impact of CSF orbitorrhoea.

    • Implications:

    • Early recognition and prompt management of CSF orbitorrhoea are crucial to prevent life-threatening complications such as meningitis.
    • Understanding the pathophysiology of CSF orbitorrhoea can guide surgical and medical management strategies.
    • This case emphasizes the importance of long-term follow-up for patients with significant orbital trauma and subsequent infections.