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2012, Número 2

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Revista Cubana de Obstetricia y Ginecología 2012; 38 (2)


Cefalea pospunción dural en la paciente obstétrica

Correa PJM

Idioma: Español
Referencias bibliográficas: 48
Paginas:
Archivo PDF: 60.37 Kb.


RESUMEN

La punción lumbar o dural (PL), consiste en pasar una aguja a través de la duramadre hasta el espacio subaracnoideo, el cual está lleno de líquido cefalorraquídeo (LCR). Siempre que la dura madre o la aracnoides sean puncionadas, los pacientes están en riesgo de desarrollar cefalea pospunción dural. El objetivo de este estudio fue hacer una puesta al día sobre las causas, diagnóstico, prevención y tratamiento de la cefalea pospunción dural. La cefalea pospunción dural (CPPD) se comporta como un dolor de cabeza bilateral que se desarrolla dentro de los 5 días posteriores a la realización de PL y desaparece en una semana. La cefalea sobreviene o empeora en la posición de pie y desaparece o mejora después de acostarse, existen factores modificables y no modificables para prevenir su aparición: el tratamiento va desde la profilaxis hasta las medidas específicas, las cuales incluyen tratamiento conservador e invasivo. La CPPD continúa siendo un problema luego de una anestesia neuroaxial, la causa fundamental es la pérdida de LCR y no resulta fácil realizar su prevención.


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