title: [Headhache secondary to intracranial hypotension in a Lumbar Spinal Stenosis Surgery].
abstract: Intracraneal hypotension headache is a well known syndrome in neurosurgery practice. In most cases cerebrospinal fluid leaks are caused by medical interventions, such as lumbar puncture, peridural anesthesia and surgical interventions on the spine. Clinical symptoms tipically show orthostatic headache that resolves in supine position, and other symptoms like neck tightness, vertigo and diplopia. RMI diagnostic confirms paquimeningeal enhancement and subdural hygromas. Conservative treatment usually includes bed resting, hydratation and administration of caffeine or glucocorticoids, resolving spontaneously in one to four months. The importance of the diagnosis lies in the differential diagnosis with other causes of headache, as symptomatic limiting factor in the rehabilitation of the patient and the same favorable prognosis.
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España.
authors.forename: Begoña
authors.initials: B
authors.lastname: Hidalgo-Mendía
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España.
authors.forename: Marina
authors.initials: M
authors.lastname: Angulo-Tabernero
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Jaroid-Audes
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Untoria-Agustín
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España.
authors.forename: David
authors.initials: D
authors.lastname: Rivero-Zelada
mesh_terms: D006261:Headache / Q000134:cerebrospinal fluid / Q000209:etiology* / Q000628:therapy; D006801:Humans; D019585:Intracranial Hypotension / Q000134:cerebrospinal fluid / Q000150:complications* / Q000628:therapy; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008588:Meningocele / Q000000981:diagnostic imaging / Q000209:etiology; D008875:Middle Aged; D010149:Postoperative Pain / Q000134:cerebrospinal fluid / Q000209:etiology* / Q000628:therapy; D013130:Spinal Stenosis / Q000601:surgery*; D016896:Treatment Outcome