{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:45:23Z","timestamp":1788281123219,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4429,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To measure intracranial pressures (ICPs) via lumbar drains after surgical repair of cerebrospinal fluid (CSF) leaks.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We conducted a retrospective review of ICP measurements through lumbar drains during the immediate postoperative period after CSF leak repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Eight patients with spontaneous CSF leaks underwent surgery and postoperative CSF pressures were measured via lumbar drains. ICP was elevated in 7\/8 patients (mean, 32.5\u00a0cm H<jats:sub>2<\/jats:sub>O). Diuretics reduced ICP (mean, 10\u00a0cm H<jats:sub>2<\/jats:sub>O). Three traumatic CSF leaks patients served as controls (mean, ICP 14\u00a0cm H<jats:sub>2<\/jats:sub>O).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Measurement of ICP through lumbar drains provides important information regarding the pathophysiology of CSF leaks that has an impact on subsequent medical and surgical treatment. Although the precise cause and mechanism of spontaneous CSF leaks are not fully understood, this study indicates that elevated ICP plays a role and that further medical or surgical treatment to correct the intracranial hypertension may be warranted. (Otolaryngol Head Neck Surg 2004;130:443\u20108.)<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2003.12.018","type":"journal-article","created":{"date-parts":[[2004,4,26]],"date-time":"2004-04-26T05:21:14Z","timestamp":1082956874000},"page":"443-448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":90,"title":["Cerebrospinal Fluid Pressure Monitoring after Repair of Cerebrospinal Fluid Leaks"],"prefix":"10.1002","volume":"130","author":[{"given":"Rodney J.","family":"Schlosser","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen Maloney","family":"Wilensky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"},{"name":"Department of Neurosurgery University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Sean","family":"Grady","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"},{"name":"Department of Neurosurgery University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James N.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"},{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"},{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Bolger","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina"},{"name":"Department of Surgery (Otolaryngology) Uniformed Services University of the Health Sciences Bethesda Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198503000-00006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.31.3.214"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988309100410"},{"key":"e_1_2_6_5_1","first-page":"1953","article-title":"Reversible empty sella in idiopathic intracranial hypertension: An indicator of successful therapy?","volume":"17","author":"Zagardo MT","year":"1996","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100030122"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199008000-00012"},{"key":"e_1_2_6_8_1","first-page":"36","article-title":"Endoscopic transpterygoid approach to the lateral sphenoid recess","volume":"78","author":"Bolger WE","year":"1999","journal-title":"ENT J"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200206000-00008"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/194589240301700403"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00367338"},{"key":"e_1_2_6_12_1","first-page":"337","article-title":"A retrospective analysis of spontaneous sphenoid sinus fistula: MR and CT findings","volume":"21","author":"Shetty PG","year":"2000","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1989.00520460025008"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111000209"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065899781329610"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2003.12.018","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2003.12.018","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2003.12.018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:40:58Z","timestamp":1760956858000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2003.12.018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,4]]}},"alternative-id":["10.1016\/j.otohns.2003.12.018"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2003.12.018","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,4]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}