OBJECTIVE: the objective is to tell the skull-orbital fistula in children mimicking retro-orbital hemorrhage after ocular injury trauma. CASE REPORT: Patient, 5 months - 25 days, victim of automobile accident in 2 hours, gave entered in the ready aid of general surgery presenting hypovolemic shock, ECG 9, with presence of orbital ecchymosis left and tank in left secular region. The volume expansion was submitted. Series of radiological of trauma presented gastric distention. Orgams sounding lead drained bloody secretion presenting USG FAST without abnormalities. The skull computerized tomography evidenced laminate epidural bruising to the left and area of cerebral bruise the right without surgical indication. The computerized tomography of sinus of the face evidenced breaking of medial, posterior wall and of ceiling of the left orbit. Evolves with improvement of the ECG (9 >13), without neurological source signals with ocular left visual acuity diminished and proptosis. In the 4th day after-trauma, the patient presented convulsive crises evolving with degradation of the level of conscience and significant worsening of ocular proptosis. It was submitted to the decompression of gravitates left saw superior palpebral incision with extravasations of great volume of liquid yellow-citrus of orbital septum. After 9 days, left craniotomy was carried through front-weather with identification of laceration of lasts-mater followed of closing for suture. CONCLUSION: Meningeal cranial-orbit fistulas must be suspected in patients with breakings ceiling of the orbit. Suggestive clinical signals are serous draining for the eye, pulsatile proptosis, chemosis, edema and gradual proptosis. Ours case show that in another conditions, meningeal cranial-orbit must be suspected in patients with progressive exophthalmia after trauma.