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Cir Cir ; 83(1): 43-5, 2015.
Article in Spanish | MEDLINE | ID: mdl-25982607

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.


Subject(s)
Acetazolamide/therapeutic use , Anesthesia, Epidural/adverse effects , Cerebrospinal Fluid Leak/drug therapy , Cutaneous Fistula/drug therapy , Postoperative Complications/drug therapy , Carcinoma/surgery , Catheter-Related Infections/etiology , Cerebrospinal Fluid Leak/etiology , Cerebrospinal Fluid Leak/therapy , Combined Modality Therapy , Cutaneous Fistula/etiology , Cutaneous Fistula/therapy , Female , Humans , Hysterectomy , Lumbosacral Region , Middle Aged , Post-Dural Puncture Headache/etiology , Postoperative Complications/etiology , Postoperative Complications/therapy , Punctures/adverse effects , Staphylococcal Infections/etiology , Staphylococcus haemolyticus/isolation & purification , Suture Techniques , Uterine Cervical Neoplasms/surgery
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