Eyelid liquoric fistula secondary to orbital meningocele

Revista Brasileira de Oftalmologia

Renato Antunes Schiave Germano¹  Mateus Violin Silva¹  Flávio Augusto Schiave Germano¹  Michele Madeira Brandão¹  Caroline Schiave Germano¹  Bárbara Leite De Souza¹  Rogério Masahiro Kawai¹  Jorge Estéfano Germano¹ 

关键词: Meningocele;    Eyelid;    Edema;    Magnetic resonance imaging;    Anatomy;    Cerebrospinal fluid;    Diagnosis;    differential;    Case reports;    Meningocele;    Pálpebras;    Edema;    Imagem por ressonância magnética;    Anatomia;    Líquido cefalorraquidiano;    Diagnóstico diferencial;    Relatos de casos;   

DOI  :  10.5935/0034-7280.20150011

来源: SciELO

【 摘 要 】

Liquoric fistula (LF) is defined as the communication of the subarachnoid space with the external environment, which main complication is the development of infection in the central nervous system. We reported the case of a patient with non-traumatic eyelid liquoric fistula secondary to orbital meningocele (congenital lesion), which main clinical manifestation was unilateral eyelid edema. Her symptoms and clinical signs appeared in adulthood, which is uncommon. The patient received surgical treatment, with complete resolution of the eyelid swelling. In conclusion, eyelid cerebrospinal fluid (CSF) fistula is a rare condition but with great potential deleterious to the patient. It should be considered in the differential diagnosis of unilateral eyelid edema, and surgical treatment is almost always mandatory.

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