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Related Experiment Videos

Traumatic cerebrospinal fluid fistula simulating tears. Case report.

K K Joshi, H A Crockard

    Journal of Neurosurgery
    |July 1, 1978
    PubMed
    Summary

    A rare case of delayed cerebrospinal fluid (CSF) leak in a child presented as eye tears. This CSF leak originated from the cribriform plate, tracking through sinuses to the orbit.

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    Area of Science:

    • Neurology
    • Ophthalmology
    • Pediatrics

    Background:

    • Cerebrospinal fluid (CSF) leaks can occur after head trauma or surgery.
    • Delayed presentations are less common, especially in pediatric cases.

    Observation:

    • A young child presented with delayed onset of watery discharge from the eye, mimicking tears.
    • The discharge was identified as cerebrospinal fluid (CSF).

    Findings:

    • The CSF leak originated from the cribriform plate.
    • The fluid tracked through the ethmoidal air sinuses to the medial orbit.
    • Associated findings included marked chemosis, suggesting conjunctival damage.

    Implications:

    • This case highlights an unusual pathway for CSF rhinorrhea and ocular leakage.
    • It underscores the importance of considering CSF leaks in pediatric presentations with unexplained ocular discharge.
    • Prompt diagnosis and management are crucial to prevent complications like meningitis.

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