{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:12Z","timestamp":1756339392410,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,8,27]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>We describe an elderly diabetic patient presenting with sudden onset right-sided proptosis and vision loss secondary to rhino-orbital mucormycosis and central retinal vascular occlusion. He underwent orbital exenteration that was complicated by intraoperative cerebrospinal fluid (CSF) leak from lateral orbital wall. The leak was surgically repaired and the patient recovered well. We postulate the cause of the CSF leak to be twofold: necrotic periorbital tissue due to mucormycosis rendering the thin bones susceptible to damage and second, intraoperative manipulation and dissection at the orbital apex with monopolar cautery and instruments. We describe measures taken to successfully repair the CSF leak and the possible precautions that can be taken to avoid it.<\/jats:p>","DOI":"10.1136\/bcr-2020-237575","type":"journal-article","created":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T05:45:41Z","timestamp":1600062341000},"page":"e237575","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cerebrospinal fluid leak from lateral orbit during exenteration for mucormycosis"],"prefix":"10.1136","volume":"13","author":[{"given":"Kanika","family":"Arora","sequence":"first","affiliation":[{"name":"ENT, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0891-8169","authenticated-orcid":false,"given":"Aditi","family":"Mehta","sequence":"additional","affiliation":[{"name":"Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramandeep Singh","family":"Virk","sequence":"additional","affiliation":[{"name":"ENT, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manu","family":"Saini","sequence":"additional","affiliation":[{"name":"Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,9,13]]},"reference":[{"key":"2025082701372771000_13.9.e237575.1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00002341-198703020-00001","article-title":"Incidence and treatment of dural exposure and CSF leak during orbital exenteration","volume":"3","author":"de Conciliis","year":"1987","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"2025082701372771000_13.9.e237575.2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1989.01070010849027"},{"key":"2025082701372771000_13.9.e237575.3","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.survophthal.2008.02.009","article-title":"Cerebrospinal fluid leaks in orbital and lacrimal surgery","volume":"53","author":"Limawararut","year":"2008","journal-title":"Surv Ophthalmol"},{"key":"2025082701372771000_13.9.e237575.4","doi-asserted-by":"crossref","first-page":"440","DOI":"10.3109\/08820538.2014.959187","article-title":"Cerebrospinal fluid leak as a complication of oculoplastic surgery","volume":"29","author":"Massoud","year":"2014","journal-title":"Semin Ophthalmol"},{"key":"2025082701372771000_13.9.e237575.5","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1017\/S0022215100139295","article-title":"'Bath-plug' technique for the endoscopic management of cerebrospinal fluid leaks","volume":"111","author":"Wormald","year":"1997","journal-title":"J Laryngol Otol"},{"key":"2025082701372771000_13.9.e237575.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.18.3.556-569.2005"},{"key":"2025082701372771000_13.9.e237575.7","doi-asserted-by":"crossref","first-page":"e128","DOI":"10.1097\/IOP.0000000000001455","article-title":"Cerebrospinal fluid leak from the orbital roof during orbital exenteration","volume":"35","author":"Curragh","year":"2019","journal-title":"Ophthalmic Plast Reconstr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:37:36Z","timestamp":1756283856000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":7,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,9,13]]},"published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1136\/bcr-2020-237575"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237575","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}