{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:40:00Z","timestamp":1782301200924,"version":"3.54.5"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Cerebrospinal fluid leak (CSF) after a neurosurgical procedure is a known complication that may result in bad outcomes (1). The incidence of CSF leak varies based on the site involved; it ranges from 4 to 32% for transsphenoidal to posterior fossa procedures. The costs involved in treating postoperative CSF leaks increases exponentially that becomes a barrier in continuing optimum treatment. There are many studies that compare the different treatment modalities and even use of sealing agents but none give an algorithm of management. Our study aims at known technique that can help to treat these kinds of low-pressure CSF leaks.<\/jats:p><jats:p>\n          Materials and Methods\u2003This was a prospective study done over a period of 5 years from January 2014 to January 2019. All patients who underwent procedures in which durotomy was done were included in the study.<\/jats:p><jats:p>\n          Results\u2003A total of six patients were enrolled for the study. The duration of the study spanned 5 years from January 2014 to January 2019. All the patients after taking informed consent underwent the necessary investigations and a blood patch was done. Five of the patients the CSF stopped but in one patient it persisted. This patient again underwent investigation and under image guidance another blood patch was put after which the CSF leak stopped.<\/jats:p><jats:p>\n          Conclusion\u2003Blood patch under imaging guidance is a safe and simple technique. The success rates of cessation of CSF leaks are good. Also, it is a cost-effective method using an autograft (patient's blood).<\/jats:p>","DOI":"10.1055\/s-0043-1768599","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T23:56:27Z","timestamp":1703894187000},"page":"761-763","source":"Crossref","is-referenced-by-count":1,"title":["Postoperative CSF Leak: Blood Patch\u2014A New Avenue"],"prefix":"10.1055","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7972-6987","authenticated-orcid":false,"given":"Geover","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Father Muller Medical College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarita R. J.","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Father Muller Medical College, Mangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4103\/2152-7806.146154","article-title":"Two alternative dural sealing techniques in posterior fossa surgery: (Polylactide-co-glycolide) self-adhesive resorbable membrane versus polyethylene glycol hydrogel","volume":"5","author":"M Schiariti","year":"2014","journal-title":"Surg Neurol Int"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"735","DOI":"10.3171\/2014.6.JNS131917","article-title":"Risk factors for postoperative CSF leakage after elective craniotomy and the efficacy of fleece-bound tissue sealing against dural suturing alone: a randomized controlled trial","volume":"121","author":"G Hutter","year":"2014","journal-title":"J Neurosurg"},{"issue":"02","key":"ref3","first-page":"85","article-title":"Reconstruction after posterior cranial fossa surgery\u2014case report of application of a synthetic tissue sealant to augment dural closure","volume":"5","author":"D C Nicholas","year":"2010","journal-title":"US Neurol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"112","DOI":"10.3340\/jkns.2013.54.2.112","article-title":"Closed-suction drainage and cerebrospinal fluid leakage following microvascular decompression: a retrospective comparison study","volume":"54","author":"Y H Kim","year":"2013","journal-title":"J Korean Neurosurg Soc"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1159\/000272030","article-title":"Management of cerebrospinal fluid leak following retrosigmoid posterior cranial fossa surgery","volume":"71","author":"Y A Bayazit","year":"2009","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"09","key":"ref6","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1097\/MAO.0b013e318232e4a4","article-title":"Management of cerebrospinal fluid leaks after vestibular schwannoma surgery","volume":"32","author":"B D Mangus","year":"2011","journal-title":"Otol Neurotol"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1097\/00005537-199608000-00017","article-title":"Cerebrospinal fluid drainage in the management of CSF leak following acoustic neuroma surgery","volume":"106","author":"A J Fishman","year":"1996","journal-title":"Laryngoscope"},{"issue":"09","key":"ref8","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.1097\/MAO.0b013e318232e387","article-title":"Lumbar subarachnoid drainage in cerebrospinal fluid leaks after lateral skull base surgery","volume":"32","author":"K P Allen","year":"2011","journal-title":"Otol Neurotol"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1055\/s-0032-1312709","article-title":"Decreased rate of CSF leakage associated with complete reconstruction of suboccipital cranial defects","volume":"73","author":"M A Stoker","year":"2012","journal-title":"J Neurol Surg B Skull Base"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1179\/1743132811Y.0000000042","article-title":"Cerebrospinal fluid leak after microsurgical surgery in vestibular schwannomas via retrosigmoidal craniotomy","volume":"33","author":"F Arlt","year":"2011","journal-title":"Neurol Res"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"735","DOI":"10.3171\/2014.6.JNS131917","article-title":"Risk factors for postoperative CSF leakage after elective craniotomy and the efficacy of fleece-bound tissue sealing against dural suturing alone: a randomized controlled trial","volume":"121","author":"G Hutter","year":"2014","journal-title":"J Neurosurg"},{"key":"ref12","volume-title":"Epidural Blood Patch. [Updated 2019 Apr 20]","author":"R E Tubben","year":"2019"},{"issue":"06","key":"ref13","first-page":"471","article-title":"[Cerebrospinal fluid leakage. Indications, technique and results of treatment with a blood patch]","volume":"55","author":"A Gottschalk","year":"2015","journal-title":"Radiologe"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768599.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T23:58:00Z","timestamp":1703894280000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768599"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":13,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2023,12,29]]},"published-print":{"date-parts":[[2023,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768599","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}