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Updated: Jun 20, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Acute traumatic orbital cerebrospinal fluid cystocele mimicking orbital abscess
Suhair Twaij1, Palpandian Viswanathan, A B Page
1Ophthalmology Department, The Royal Victoria Hospital, Belfast, Northern Ireland. stwaij@hotmail.com
Abstract:
Posttraumatic cranio-orbital cerebrospinal fluid (CSF) fistula is rare, occurring when there is a communication between orbit and subarachnoid space. This communication can be caused by orbital tumors with intracranial extension or can be a result of orbital surgery. Low suspicion for traumatic orbital CSF fistula can lead to delay in diagnosis, which increases the risk of meningitis. We report a cranio-orbital CSF cystocele and fistula that mimicked orbital cellulitis in a 3-year-old boy following an orbitocranial penetrating injury.
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