A rare case of posttraumatic eyelid swelling: cerebrospinal fluid blepharocele

Case report

Nagesh Chandra M.B.B.S., M.S., M.Ch., Bal Krishan Ojha M.B.B.S., M.S., M.Ch., Vashdev Chandwani M.B.B.S., M.S., M.Ch., Chhitij Srivastava M.B.B.S., M.S., M.Ch., Sunil Kumar Singh M.B.B.S., M.S., M.Ch., and Anil Chandra M.B.B.S., M.S., M.Ch.
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  • Department of Neurosurgery, King George Medical University, Lucknow, Uttar Pradesh, India
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Posttraumatic herniation of brain and CSF into the eyelid, variously termed as blepharocele, blepharoencephalocele, or encephalocele, is not a common entity, with only a few reported cases in the literature. A 4-year-old girl was seen for gradually increasing left upper eyelid swelling after she had sustained a head injury due to a fall from height. A few days later she developed swelling of the upper eyelid. Posttraumatic CSF blepharocele was suspected. The patient underwent surgery with excellent cosmetic outcome. This case is discussed with a review of literature.

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Contributor Notes

Address correspondence to: Nagesh Chandra, M.B.B.S., M.S., M.Ch., Department of Neurosurgery, King George Medical University, Chowk, Lucknow, Uttar Pradesh 226003, India. email: naggupta@yahoo.com.

Please include this information when citing this paper: published online January 18, 2013; DOI: 10.3171/2012.12.PEDS11500.

  • 1

    Antworth MV, & Beck RW: Traumatic orbital encephalocele. Can J Ophthalmol 24:129131, 1989

  • 2

    Arslantaş A, , Vural M, , Atasoy MA, , Ozsandik A, , Topbaş S, & Tel E: Posttraumatic cerebrospinal fluid accumulation within the eyelid: a case report and review of the literature. Childs Nerv Syst 19:5456, 2003

    • Search Google Scholar
    • Export Citation
  • 3

    Bagolini B: Leakage of spinal fluid into upper lid following trauma. AMA Arch Opthalmol 57:454456, 1957

  • 4

    Bhandari YS: Traumatic orbital pseudo-meningocele. Case report. J Neurosurg 30:612614, 1969

  • 5

    Bhatoe HS: Blepharocele after head injury. Skull Base 12:7376, 2002

  • 6

    Brodie HA, & Thompson TC: Management of complications from 820 temporal bone fractures. Am J Otol 18:188197, 1997

  • 7

    Duhem-Tonnelle V, , Duhem R, , Mora AR, , Allaoui M, & Assaker R: [Traumatic orbital encephalocele in an adult: report of one case.]. Neurochirurgie 54:2831, 2008. (Fr)

    • Search Google Scholar
    • Export Citation
  • 8

    Friedman JA, , Ebersold MJ, & Quast LM: Post-traumatic cerebrospinal fluid leakage. World J Surg 25:10621066, 2001

  • 9

    Galzio RJ, , Lucantoni D, , Zenobii M, & Grizzi LC: Traumatic craniopalpebral cerebrospinal fluid fistula. J Neurosurg Sci 25:105107, 1981

  • 10

    Garza-Mercado R, , Aragon-Lomas J, , Martinez-Garza J, & Leal-Hernandez L: Cerebrospinal fluid blepharocele: an unusual complication of head injuries. Neurosurgery 11:525526, 1982

    • Search Google Scholar
    • Export Citation
  • 11

    Greenwald MJ, , Lissner GS, , Tomita T, & Naidich TP: Isolated orbital roof fracture with traumatic encephalocele. J Pediatr Ophthalmol Strabismus 24:141144, 1987

    • Search Google Scholar
    • Export Citation
  • 12

    Matthew JM, , Haran RP, & Chandy MJ: Post-traumatic blepharocele. Neurol India 45:4647, 1997

  • 13

    Morihara H, , Zenke K, , Shoda D, , Fujiwara S, , Suehiro S, & Hatakeyama T: Intraorbital encephalocele in an adult patient presenting with pulsatile exophthalmos. Case report. Neurol Med Chir (Tokyo) 50:11261128, 2010

    • Search Google Scholar
    • Export Citation
  • 14

    Salame K, , Segev Y, , Fliss DM, & Ouaknine GE: Diagnosis and management of posttraumatic oculorrhea. Neurosurg Focus 9:1 e3, 2000

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