{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T21:59:22Z","timestamp":1776722362067,"version":"3.51.2"},"reference-count":15,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jem-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Emergency Medicine"],"published-print":{"date-parts":[[2016,9]]},"DOI":"10.1016\/j.jemermed.2016.05.040","type":"journal-article","created":{"date-parts":[[2016,7,3]],"date-time":"2016-07-03T08:01:01Z","timestamp":1467532861000},"page":"265-268","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Epidural Steroid Injection Complicated by Intrathecal Entry, Pneumocephalus, and Chemical Meningitis"],"prefix":"10.1016","volume":"51","author":[{"given":"Aakash Kaushik","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrey","family":"Bilko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Kimo","family":"Takayesu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jemermed.2016.05.040_bib1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s11916-011-0236-9","article-title":"Epidural steroid injections","volume":"16","author":"Wilkinson","year":"2012","journal-title":"Curr Pain Headache Rep"},{"key":"10.1016\/j.jemermed.2016.05.040_bib2","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1111\/j.1526-4637.2011.01077.x","article-title":"Incidence and characteristics of complications from epidural steroid injections","volume":"12","author":"McGrath","year":"2011","journal-title":"Pain Med"},{"key":"10.1016\/j.jemermed.2016.05.040_bib3","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.apmr.2004.02.018","article-title":"Complications and side effects of cervi- cal and lumbosacral selective nerve root injections","volume":"86","author":"Huston","year":"2005","journal-title":"Arch Phys Med Med Rehabil"},{"key":"10.1016\/j.jemermed.2016.05.040_bib4","first-page":"147","article-title":"Cardiopulmonary arrest following cervical epidural injection","volume":"15","author":"Stauber","year":"2012","journal-title":"Pain Physician"},{"key":"10.1016\/j.jemermed.2016.05.040_bib5","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.ajem.2014.01.029","article-title":"Subarachnoid hemorrhage and pneumocephalus due to epidural anesthesia","volume":"32","author":"G\u00fczel","year":"2014","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jemermed.2016.05.040_bib6","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1111\/pme.12401","article-title":"Pneumorrhachis and pneumocephalus with severe chest pain symptom: a rare complication of epidural steroid injection","volume":"15","author":"Ergenoglu","year":"2014","journal-title":"Pain Med"},{"key":"10.1016\/j.jemermed.2016.05.040_bib7","first-page":"119","article-title":"Pneumocephalus and respiratory depression after accidental dural puncture during epidural analgesia: a case report","volume":"35","author":"Lin","year":"1997","journal-title":"Acta Anaesthesiol Sin"},{"key":"10.1016\/j.jemermed.2016.05.040_bib8","first-page":"9","article-title":"Pneumocephalus after lumbar epidural steroid injection: a case report and review of the literature","volume":"3","author":"Verdun","year":"2014","journal-title":"Anesth Analg Case Rep"},{"key":"10.1016\/j.jemermed.2016.05.040_bib9","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1213\/ANE.0b013e3181bc113a","article-title":"Epidural space identification: a meta-analysis of complications after air versus liquid as the medium for loss of resistance","volume":"109","author":"Schier","year":"2009","journal-title":"Anesth Analg"},{"key":"10.1016\/j.jemermed.2016.05.040_bib10","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1097\/00000542-199801000-00014","article-title":"Headache after attempted epidural block: the role of intrathecal air","volume":"88","author":"Aida","year":"1998","journal-title":"Anesthesiology"},{"key":"10.1016\/j.jemermed.2016.05.040_bib11","first-page":"184","article-title":"Time to abandon loss of resistance to air","volume":"52","author":"Yentis","year":"1997","journal-title":"Anaesthesia"},{"key":"10.1016\/j.jemermed.2016.05.040_bib12","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1097\/00000542-199602000-00024","article-title":"Theoretical assessment of normobaric oxygen therapy to treat pneumocephalus","volume":"84","author":"Dexter","year":"1996","journal-title":"Anesthesiology"},{"key":"10.1016\/j.jemermed.2016.05.040_bib13","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1097\/00000542-198505000-00031","article-title":"Aseptic meningitis following spinal anesthesia\u2014a complication of the past?","volume":"62","author":"Bert","year":"1985","journal-title":"Anesthesiology"},{"key":"10.1016\/j.jemermed.2016.05.040_bib14","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s005400170039","article-title":"Two cases of chemical meningitis following spinal anesthesia","volume":"15","author":"Nishimura","year":"2001","journal-title":"J Anesth"},{"key":"10.1016\/j.jemermed.2016.05.040_bib15","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1007\/s00415-010-5522-7","article-title":"Bupivacaine-induced chemical meningitis","volume":"257","author":"Tateno","year":"2010","journal-title":"J Neurol"}],"container-title":["The Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467916301706?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467916301706?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:35:33Z","timestamp":1760027733000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0736467916301706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["S0736467916301706"],"URL":"https:\/\/doi.org\/10.1016\/j.jemermed.2016.05.040","relation":{},"ISSN":["0736-4679"],"issn-type":[{"value":"0736-4679","type":"print"}],"subject":[],"published":{"date-parts":[[2016,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Epidural Steroid Injection Complicated by Intrathecal Entry, Pneumocephalus, and Chemical Meningitis","name":"articletitle","label":"Article Title"},{"value":"The Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jemermed.2016.05.040","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}