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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
Posttraumatic delayed cranio-orbital cerebrospinal fluid leakage: case report.
Eun Young Rha1, Ji Hwan Kim, Jun Hee Byeon
1Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|September 11, 2012
Summary
A traumatic brain injury patient developed orbital fluid collection and proptosis due to cerebrospinal fluid (CSF) leakage. Prompt surgical intervention resolved these symptoms, highlighting the need for vigilant monitoring post-craniocerebral trauma.
Area of Science:
- Neurosurgery
- Ophthalmology
- Trauma Surgery
Background:
- Subarachnoid hemorrhage and skull base fractures can lead to complex complications.
- Orbital complications following craniocerebral trauma require careful evaluation.
Observation:
- A 56-year-old male presented with proptosis and elevated intraocular pressure two weeks post-traffic accident.
- Imaging revealed a subperiosteal fluid collection in the right orbit.
Findings:
- Surgical drainage of the orbital fluid collection was performed.
- Subsequent surgical reduction of facial fractures was completed.
- The patient's proptosis resolved, and intraocular pressure normalized post-intervention.
Implications:
- This case underscores the importance of monitoring for cerebrospinal fluid (CSF) leakage into the orbit after craniocerebral trauma.
- Early detection and management of orbital CSF collections are crucial for preventing vision-threatening complications.
- Radiographic follow-up and clinical vigilance are essential in managing patients with head injuries.
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