Engelsk titel: Oculorrhea after facial fracture and anterior skull base fracture
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Författare:
Andersson, Daniel
;
Kjellén, Gerhard
Email: daniel.andersson2@ltkalmar.se
Språk: Swe
Antal referenser: 13
Dokumenttyp:
Fallbeskrivning
UI-nummer: 16047214
Sammanfattning
Leakage of cerebrospinal fluid (CSF) from a cranio-orbital fistula, i.e. oculorrhea, is rare after skull trauma with fewer than 30 patients
reported in Western literature.
Here, we for the first time report a Swedish patient. A 75-year-old male sustained a mid-facial injury due to a bicycle accident. The CT-scan
showed, among other things, a fracture in the orbital roof, involving lamina cribrosa and lamina papyracea. The patient had epiphora and
laboratory analysis showed CSF leakage. This diagnosis should be kept in mind when excessive tearing appears in mid-facial trauma and
treatment should be considered, otherwise serious complications may occur.