[Acetazolamide in the resolution of cerebrospinal fluid cutaneous fistula after peridural analgesia: case report].

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[Acetazolamide in the resolution of cerebrospinal fluid cutaneous fistula after peridural analgesia: case report].

Cir Cir. 2015 Jan-Feb;83(1):43-5

Authors: Juárez-Adame FM, Ruiz-Rubio Y, Zavalza-Gómez AB

Abstract
BACKGROUND: Cerebrospinal fluid cutaneous fistula following spinal anesthesia is a serious and rare complication which mandates prompt diagnosis, although the treatment modalities are not well codified.
CLINICAL CASE: Female aged 50 with a stage IIB cervical carcinoma; a peridural catheter was passed at lumbar level; three days after surgery, refers severe headache and to corroborate leakage cerebrospinal fluid through the puncture. The prescription was antibiotics and acetazolamide 250mg every 8hours for five days with favorable evolution.
CONCLUSION: In this case, management with acetazolamide and suture of the fistula inhibits cerebrospinal fluid leakage without blood patch.

PMID: 25982607 [PubMed - indexed for MEDLINE]

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