{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T16:06:13Z","timestamp":1780416373237,"version":"3.54.1"},"reference-count":5,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>An adolescent male presented with orthostatic headaches following head trauma. MRI showed cerebellar tonsil displacement and a bony defect in the clival skull base. Digital subtraction myelography (DSM) confirmed a cerebrospinal fluid\u2010venous fistula (CVF). This was repaired endoscopically. CVFs cause uncontrolled flow of CSF into the venous system resulting in symptoms of intracranial hypotension. They're often difficult to identify on initial imaging. This is the first reported CVF originating in the central skull base, and the first treated via endoscopic trans\u2010nasal approach. CVFs may elude initial imaging, making DSM crucial for unexplained spontaneous intracranial hypotension. <jats:italic>Laryngoscope<\/jats:italic>, 134:645\u2013647, 2024<\/jats:p>","DOI":"10.1002\/lary.31032","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T12:40:42Z","timestamp":1694176842000},"page":"645-647","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["<scp>CSF\u2010Venous<\/scp> Fistula of the Clival Skull Base: A Unique Case Study and Literature Review"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6873-7760","authenticated-orcid":false,"given":"Jordan K.","family":"Simmons","sequence":"first","affiliation":[{"name":"Division of Otolaryngology Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasiq","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."},{"name":"San Antonio School of Medicine University of Texas  San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel M.","family":"Maya","sequence":"additional","affiliation":[{"name":"Department of Imaging Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8993-6355","authenticated-orcid":false,"given":"Arthur W.","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wouter I.","family":"Schievink","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam N.","family":"Mamelak","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2315-9930","authenticated-orcid":false,"given":"Dennis M.","family":"Tang","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Cedars\u2010Sinai Medical Center  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"issue":"1","key":"e_1_2_5_2_1","first-page":"45","article-title":"Endoscopic endonasal approaches to the clival region","volume":"49","author":"Ravnik J","year":"2020","journal-title":"Acta Med Acad"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.26175"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/CASE2211"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000000639"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000011522"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T06:09:10Z","timestamp":1705903750000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,8]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/lary.31032"],"URL":"https:\/\/doi.org\/10.1002\/lary.31032","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,8]]},"assertion":[{"value":"2023-07-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}