{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:41:12Z","timestamp":1773297672002,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Compared to the cerebrospinalfluid (CSF) leak through the nose and ear, the orbital CSF leak is a rare and underreported condition following head trauma. We present the case of a 49-year-old woman with oedematous eyelid swelling and ecchymosis after a seemingly trivial fall onto the right orbit. Apart from the above, she was clinically unremarkable. The CT scan revealed a minimally displaced fracture of the orbital roof with no emphysema or intracranial bleeding. The fractured orbital roof in combination with the oedematous eyelid swelling raised the suspicion for orbital CSF leak. The MRI of the neurocranium demonstrated a small-sized CSF fistula extending from the anterior cranial fossa to the right orbit. The patient was treated conservatively and the lid swelling resolved completely after 5\u2005days. Although rare, orbital CSF leak needs to be included in the differential diagnosis of periorbital swelling following orbital trauma.<\/jats:p>","DOI":"10.1136\/bcr-2013-202216","type":"journal-article","created":{"date-parts":[[2013,12,9]],"date-time":"2013-12-09T07:04:33Z","timestamp":1386572673000},"page":"bcr2013202216","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Traumatic orbital CSF leak"],"prefix":"10.1136","volume":"2013","author":[{"given":"Farzad","family":"Borumandi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,12,9]]},"reference":[{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1347902"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.2","first-page":"706","article-title":"Evaluation of CSF leaks: high-resolution CT compared with contrast-enhanced CT and radionuclide cisternography","volume":"20","author":"Stone","year":"1999","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.3","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.3171\/foc.2000.9.1.3","article-title":"Diagnosis and management of posttraumatic oculorrhea","volume":"9","author":"Salame","year":"2000","journal-title":"Neurosurg Focus"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.08.017"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.5","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1978.49.1.0121"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.6","doi-asserted-by":"crossref","first-page":"E4","DOI":"10.3171\/2012.5.FOCUS1269","article-title":"Is posttraumatic cerebrospinal fluid fistula a predictor of posttraumatic meningitis? A US Nationwide Inpatient Sample Database Study","volume":"32","author":"Sonig","year":"2012","journal-title":"Neurosurg Focus"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1992.77.5.0737"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.8","doi-asserted-by":"crossref","unstructured":"Starling A Hernandez F Hoxworth JM . Sensitivity of MRI of the spine compared with CT myelography in orthostatic headache with CSF leak. Neurology. 2013;81:1789\u201392.","DOI":"10.1212\/01.wnl.0000435555.13695.22"},{"key":"2025082702244312000_2013.dec09_1.bcr2013202216.9","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-832259"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-202216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:24:54Z","timestamp":1756286694000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-202216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,9]]},"references-count":9,"alternative-id":["10.1136\/bcr-2013-202216"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-202216","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,9]]}}}