Resolution of hypertension symptoms following cerebrospinal fluid leak with acetazolamide: a case report
Elizabeth Raulston, Maya Bhutwala, Kyle Kesler · 2025
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Description
Elizabeth Raulston, Maya Bhutwala, and Kyle Kesler report pressure headaches after spinal fluid leaks in a case paper from 2025. Spine surgery sometimes nicks the sac around the cord, leaking spinal fluid. Even after leaks seal, some patients keep stubborn headaches. Their symptoms point the other way: pressure inside the skull running too high.
Two patients fit that pattern, with ringing ears, vision changes, and dizziness. One man's headache worsened lying down and peaked before dawn. A myelogram confirmed excess pressure in the first case. The drug acetazolamide, which cuts fluid production, eased the picture. The report warns that post-leak headaches are not always low pressure. Treating the wrong direction would fail these patients.
Catalog record
| CREATOR | Elizabeth Raulston, Maya Bhutwala, Kyle Kesler |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 14 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |