The cause is probably a broken timing belt. I'm pretty sure that the 1992 Accords need to have there timing belts replaced every 75,000 miles. Check owners manual and also when belt was last changed. If it is the timing belt, the water pump will need to be removed to get to it. Honda recommends that you replace the water pump at the same time. Honda usually charges about $350 to change the belt, but you may be able to find an independent shop experienced in Honda's to do it cheaper.