Abstract

QUINTERO, Iván Fernando et al. Intracranial hypotension syndrome: A post dural puncture headache?. Rev. colomb. anestesiol. [online]. 2013, vol.41, n.1, pp.57-60. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2012.07.007.

The intracranial hypotension syndrome (IHS) is a disorder caused by brain descent due to a CSF leak resulting from diagnostic, therapeutic or spontaneous lesions. The pathophysiology, the clinical and the therapeutic approach are similar as in post dural puncture headache, the latter being considered a mild form of IHS. This paper describes two patients with orthostatic headache and severe neurological involvement after epidural and spinal anesthesia, diagnosed and treated as post dural puncture headache, but who required additional care because of their abnormal course. IHS is a serious complication that may result in clinical decline and death; consequently, it requires a comprehensive approach to the various triggering factors, the clinical picture, diagnostic methods, pathophysiology and management.

Keywords : Epidural anesthesia; Spinal anesthesia; Cerebrum; Anesthesia.

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