Eyelid liquoric fistula secondary to orbital meningocele

• Autor(a) principal: Germano,Renato Antunes Schiave
• Data de Publicação: 2015
• Outros Autores: Silva,Mateus Violin, Germano,Flávio Augusto Schiave, Brandão,Michele Madeira, Germano,Caroline Schiave, Souza,Bárbara Leite de, Kawai,Rogério Masahiro, Germano,Jorge Estéfano
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista Brasileira de Oftalmologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802015000100046
• topic: Meningocele; Eyelid; Edema; Magnetic resonance imaging; Anatomy; Cerebrospinal fluid; Diagnosis, differential; Case reports

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.