{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:47:19Z","timestamp":1792806439275,"version":"4.5.0"},"reference-count":21,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2020,11]]},"DOI":"10.1016\/j.wneu.2020.07.108","type":"journal-article","created":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T21:23:22Z","timestamp":1595453002000},"page":"e268-e274","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"special_numbering":"C","title":["Syrinx Secondary to Chiari-like Tonsillar Herniation in Spontaneous Intracranial Hypotension"],"prefix":"10.1016","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4418-9605","authenticated-orcid":false,"given":"Erik H.","family":"Middlebrooks","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lela","family":"Okromelidze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0845-670X","authenticated-orcid":false,"given":"George K.","family":"Vilanilam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neethu","family":"Gopal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick H.","family":"Luetmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4298-7179","authenticated-orcid":false,"given":"Vivek","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2020.07.108_bib1","first-page":"243","article-title":"Surgical treatment of spontaneous spinal cerebrospinal fluid leaks","volume":"88","author":"Schievink","year":"1998","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2020.07.108_bib2","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1001\/jama.295.19.2286","article-title":"Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension","volume":"295","author":"Schievink","year":"2006","journal-title":"JAMA"},{"key":"10.1016\/j.wneu.2020.07.108_bib3","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1017\/S0317167100007824","article-title":"A\u00a0treatable mimic of Chiari malformation with syringomyelia","volume":"36","author":"Zwicker","year":"2009","journal-title":"Can J Neurol Sci"},{"key":"10.1016\/j.wneu.2020.07.108_bib4","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1001\/archneur.56.7.869","article-title":"Intracranial hypotension with parkinsonism, ataxia, and bulbar weakness","volume":"56","author":"Pakiam","year":"1999","journal-title":"Arch Neurol"},{"key":"10.1016\/j.wneu.2020.07.108_bib5","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1046\/j.1526-4610.2002.02037.x","article-title":"Spontaneous intracranial hypotension resulting in coma","volume":"42","author":"Evan","year":"2002","journal-title":"Headache"},{"key":"10.1016\/j.wneu.2020.07.108_bib6","first-page":"177","article-title":"Transient oculomotor cranial nerves palsy in spontaneous intracranial hypotension","volume":"42","author":"Ferrante","year":"1998","journal-title":"J\u00a0Neurosurg Sci"},{"key":"10.1016\/j.wneu.2020.07.108_bib7","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1212\/WNL.44.8.1552","article-title":"Abducens nerve palsy in spontaneous intracranial hypotension","volume":"44","author":"Berlit","year":"1994","journal-title":"Neurology"},{"key":"10.1016\/j.wneu.2020.07.108_bib8","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1046\/j.1468-2982.2002.00433.x","article-title":"Spontaneous intracranial hypotension causing a partial third cranial nerve palsy: a novel observation","volume":"22","author":"Warner","year":"2002","journal-title":"Cephalalgia"},{"key":"10.1016\/j.wneu.2020.07.108_bib9","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jns.2004.01.014","article-title":"The pathogenesis of syringomyelia associated with lesions at the foramen magnum: a critical review of existing theories and proposal of a new hypothesis","volume":"220","author":"Levine","year":"2004","journal-title":"J\u00a0Neurol Sci"},{"key":"10.1016\/j.wneu.2020.07.108_bib10","doi-asserted-by":"crossref","first-page":"179","DOI":"10.3171\/ped.2004.101.2.0179","article-title":"A\u00a0critical analysis of the Chiari 1.5 malformation","volume":"101","author":"Tubbs","year":"2004","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2020.07.108_bib11","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s00701-010-0636-3","article-title":"Mechanisms of cerebellar tonsil herniation in patients with Chiari malformations as guide to clinical management","volume":"152","author":"Milhorat","year":"2010","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2020.07.108_bib12","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.nic.2019.01.002","article-title":"Intracranial hypotension and cerebrospinal fluid leak","volume":"29","author":"Chan","year":"2019","journal-title":"Neuroimaging Clin N Am"},{"key":"10.1016\/j.wneu.2020.07.108_bib13","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1212\/WNL.0000000000002178","article-title":"Chronic CSF leak causing syringomyelia and pseudo-Arnold-Chiari malformation","volume":"85","author":"Smith","year":"2015","journal-title":"Neurology"},{"key":"10.1016\/j.wneu.2020.07.108_bib14","first-page":"905","article-title":"Syringomyelia in spontaneous intracranial hypotension: case report","volume":"95","author":"Sharma","year":"2001","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2020.07.108_bib15","first-page":"641","article-title":"Resolution of syringohydromyelia with targeted CT-guided epidural blood patching","volume":"115","author":"Kranz","year":"2011","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2020.07.108_bib16","doi-asserted-by":"crossref","first-page":"674.e13","DOI":"10.1016\/j.wneu.2016.04.062","article-title":"Syringomyelia caused by traumatic intracranial hypotension: case report and literature review","volume":"91","author":"Richard","year":"2016","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2020.07.108_bib17","first-page":"E1172","article-title":"Acquired tonsillar herniation and syringomyelia after pleural effusion aspiration: case report","volume":"62","author":"Scholsem","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2020.07.108_bib18","doi-asserted-by":"crossref","first-page":"66","DOI":"10.2176\/nmc.49.66","article-title":"Rapid reduction of syrinx associated with traumatic intracranial hypotension by direct surgery: case report","volume":"49","author":"Ohtonari","year":"2009","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.1016\/j.wneu.2020.07.108_bib19","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1177\/0333102415623071","article-title":"How common is normal cerebrospinal fluid pressure in spontaneous intracranial hypotension?","volume":"36","author":"Kranz","year":"2016","journal-title":"Cephalalgia"},{"key":"10.1016\/j.wneu.2020.07.108_bib20","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1136\/jnnp.74.3.344","article-title":"Hypothesis on the pathophysiology of syringomyelia based on simulation of cerebrospinal fluid dynamics","volume":"74","author":"Chang","year":"2003","journal-title":"J\u00a0Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.wneu.2020.07.108_bib21","first-page":"3","article-title":"Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils: implications for diagnosis and treatment","volume":"80","author":"Oldfield","year":"1994","journal-title":"J\u00a0Neurosurg"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875020316296?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875020316296?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T08:43:05Z","timestamp":1761813785000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875020316296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":21,"alternative-id":["S1878875020316296"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2020.07.108","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2020,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Syrinx Secondary to Chiari-like Tonsillar Herniation in Spontaneous Intracranial Hypotension","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2020.07.108","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}