León CR, Castro JM, López DA, Salva CS, Martín EJM, Rodríguez PL, Palau SA

Language: Spanish
References: 14
Page: 50-53
PDF size: 308.79 Kb.

ABSTRACT

Introduction: Cerebrospinal fluid (CSF) fistulas are a common complication of spinal surgery. The radioisotope cisternography is a diagnostic tool that allows confirmation and localization. Case report: Male patient of 30 years, with a history of congenital hydrocephalus and eight years ago was removed a derivative lumboperitoneal shunt system placed by that cause. Consulted by episodes of approximately six months of orthostatic headache with relief in decubitus. A lumbar puncture was done for the study of CSF, an opening pressure of 5 cm H2O, and cytochemical, bacteriological, mycological and virological studies were negative. A cisternography radioisotope 99Tc-DTPA was done and showed a CSF fistula on the site where the lumboperitoneal shunt catheter was removed. Conclusion: The radioisotope cisternography is a practical and effective option to confirm the diagnosis CSF fistula as a complication of spinal surgery in patients with intracranial hypotension.

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