PT  - JOURNAL ARTICLE
AU  - R M Dryden
AU  - A E Wulc
TI  - Pseudoepiphora from cerebrospinal fluid leak: case report.
AID  - 10.1136/bjo.70.8.570
DP  - 1986 Aug 01
TA  - British Journal of Ophthalmology
PG  - 570--574
VI  - 70
IP  - 8
4099  - http://bjo.bmj.com/content/70/8/570.short
4100  - http://bjo.bmj.com/content/70/8/570.full
SO  - Br J Ophthalmol1986 Aug 01; 70
AB  - A 4-year-old tearing child with obstruction of the nasolacrimal duct was treated with dacryocystorhinostomy three years after naso-orbital injury. However, what appeared to be tearing persisted, and meningitis developed. Coronal CT scans demonstrated traumatic encephalocele of the posterior superior orbital roof. A chronic orbital cerebrospinal fluid (CSF) leak was diagnosed. To our knowledge no case of chronic CSF leak has been reported that simulated tearing in an otherwise asymptomatic child. In the tearing patient who has a naso-orbital fracture the possibility of chronic CSF leak should be considered.