title: [Acetazolamide in the resolution of cerebrospinal fluid cutaneous fistula after peridural analgesia: case report].
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  In this case, management with acetazolamide and suture of the fistula inhibits cerebrospinal fluid leakage without blood patch.
authors.affiliation: División de Anestesiología, Unidad Médica de Alta Especialidad, Hospital de Ginecología y Obstetricia, Instituto Mexicano del Seguro Social, México.
authors.forename: Félix Manuel
authors.initials: FM
authors.lastname: Juárez-Adame
authors.affiliation: División de Anestesiología, Unidad Médica de Alta Especialidad, Hospital de Ginecología y Obstetricia, Instituto Mexicano del Seguro Social, México.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Ruiz-Rubio
authors.affiliation: División de Investigación en Salud, Unidad Médica de Alta Especialidad, Hospital de Ginecología y Obstetricia, Instituto Mexicano del Seguro Social, México. Electronic address: postmen71@yahoo.com.mx.
authors.forename: Ana Bertha
authors.initials: AB
authors.lastname: Zavalza-Gómez
mesh_terms: D000086:Acetazolamide / Q000627:therapeutic use*; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D002277:Carcinoma / Q000601:surgery; D055499:Catheter-Related Infections / Q000209:etiology; D065634:Cerebrospinal Fluid Leak / Q000188:drug therapy* / Q000209:etiology / Q000628:therapy; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000188:drug therapy* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008161:Lumbosacral Region; D008875:Middle Aged; D051299:Post-Dural Puncture Headache / Q000209:etiology; D011183:Postoperative Complications / Q000188:drug therapy* / Q000209:etiology / Q000628:therapy; D011677:Punctures / Q000009:adverse effects; D013203:Staphylococcal Infections / Q000209:etiology; D041162:Staphylococcus haemolyticus / Q000302:isolation & purification; D013536:Suture Techniques; D002583:Uterine Cervical Neoplasms / Q000601:surgery
chemical_list: D000086:Acetazolamide
keywords: Acetazolamida; Acetazolamide; Cerebrospinal fluid; Epidural technique; Fistula; Fístula; Líquido cefalorraquídeo; Técnica epidural