A rare case of posttraumatic eyelid swelling: cerebrospinal fluid blepharocele

J Neurosurg Pediatr. 2013 Mar;11(3):242-4. doi: 10.3171/2012.12.PEDS11500. Epub 2013 Jan 18.

Abstract

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.

MeSH terms

  • Cerebrospinal Fluid Leak
  • Cerebrospinal Fluid Rhinorrhea / etiology*
  • Cerebrospinal Fluid Rhinorrhea / surgery
  • Child, Preschool
  • Craniocerebral Trauma / complications
  • Craniotomy
  • Edema / cerebrospinal fluid*
  • Edema / etiology
  • Eyelids / injuries*
  • Eyelids / pathology*
  • Female
  • Glasgow Coma Scale
  • Humans
  • Neurologic Examination
  • Neurosurgical Procedures
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Wounds, Nonpenetrating / complications