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Acute Orbital Pseudomeningocele Due to Traumatic Fracture in an Infant
Maryam Sarfraz1, Fatima Mustansir1, Natasha Khan1
1Department of Surgery, The Aga Khan University, Karachi, Sindh, Pakistan.
Insights
A rare complication of paediatric orbital trauma, traumatic orbital pseudomeningocele involves cerebrospinal fluid (CSF) leakage after a dural tear. Surgical repair successfully resolved proptosis in a seven-month-old infant.
Area of Science:
- Ophthalmology
- Neurosurgery
- Paediatric Trauma
Background:
- Paediatric orbital trauma, though uncommon, can lead to severe complications.
- Traumatic orbital pseudomeningocele is a rare consequence of orbital injury, characterized by cerebrospinal fluid (CSF) accumulation due to a dural tear.
Observation:
- A seven-month-old male infant presented with orbital swelling and suspected cellulitis following a road traffic accident.
- Initial presentation mimicked orbital cellulitis, necessitating further investigation.
Findings:
- The infant was diagnosed with a traumatic orbital pseudomeningocele.
- Surgical intervention included a left frontal craniotomy, duroplasty, and repair of the medial orbital pseudomeningocele.
Implications:
- Successful surgical management led to the resolution of proptosis.
- This case highlights the importance of considering rare complications in paediatric orbital trauma.
Abstract:
Paediatric orbital trauma is uncommon, but it can be associated with significant morbidity. Traumatic pseudomeningocele is an infrequent complication of orbital trauma; it occurs due to an extradural collection of cerebrospinal fluid (CSF) that develops after a dural tear. Herein, we report a case of a seven-month-old male child who presented with eye swelling and suspicion of orbital cellulitis, along with a history of a road traffic accident. He was later diagnosed with traumatic orbital pseudomeningocele and underwent a left frontal craniotomy and duroplasty along with repair of medial orbital pseudomeningocele. Postoperatively, the child remained stable and resolution of proptosis was observed.
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