{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T17:14:31Z","timestamp":1771953271188,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T00:00:00Z","timestamp":1598745600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Spontaneous intracranial hypotension (SIH) is a rare condition resulting from cerebrospinal fluid (CSF) volume depletion, nearly always from spontaneous CSF leaks. CSF pressure in SIH is usually normal; low CSF pressure is found in a substantial minority of patients. SIH is uncommonly described in pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Series<\/jats:title>\n                    <jats:p>Five women with SIH during pregnancy have been conservatively treated adopting bed rest and overhydration. After prolonged conservative treatment, only 1 patient showed complete symptoms resolution. A rare SIH complication as cerebral venous thrombosis has been reported in 1 case. All 4 remaining patients had lumbar epidural blood patch (EBP) with symptoms disappearance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EBP might be proposed to SIH patients also during pregnancy and after a brief period (~10\u00a0days) of ineffective conservative treatment, because it could allow faster symptoms improvement and complete recovery. Furthermore, EBP would avoid prolonged bed rest with the risk of SIH severe complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13942","type":"journal-article","created":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T16:08:57Z","timestamp":1598803737000},"page":"1777-1787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Management of Spontaneous Intracranial Hypotension During Pregnancy: A Case Series"],"prefix":"10.1111","volume":"60","author":[{"given":"Enrico","family":"Ferrante","sequence":"first","affiliation":[{"name":"Neurology Department AOR San Carlo Potenza Italy"},{"name":"Neurology Department Alto Vicentino Hospital \u2013 AULSS 7 Pedemontana Santorso Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6058-3912","authenticated-orcid":false,"given":"Michele","family":"Trimboli","sequence":"additional","affiliation":[{"name":"Neurology Department AOR San Carlo Potenza Italy"},{"name":"Department of Medical and Surgical Sciences Institute of Neurology AOU Mater Domini \u2013 Magna Gr\u00e6cia University Catanzaro Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Petrecca","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care Department AOR San Carlo Potenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Allegrini","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care Department AOR San Carlo Potenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko Maria","family":"Ferrante","sequence":"additional","affiliation":[{"name":"Anesthesiology Department University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Rubino","sequence":"additional","affiliation":[{"name":"Palliative Care and Pain Management Department ASST Valtellina Sondrio Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1212\/CON.0000000000000193","article-title":"Spontaneous intracranial hypotension","volume":"21","author":"Mokri B","year":"2015","journal-title":"Continuum (Minneap Minn)"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102410394676"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760-019-01166-8"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2019.08.085"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.19.2286"},{"key":"e_1_2_6_7_1","first-page":"745","article-title":"Spontaneous intracranial hypotension: A systematic imaging approach for CSF leak localization and management based on MRI and digital subtraction myelography","volume":"40","author":"Farb RI","year":"2019","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1212\/CON.0000000000000623","article-title":"Headaches due to low and high intracranial pressure","volume":"24","author":"Friedman DI","year":"2018","journal-title":"Continuum (Minneap Minn)"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1631\/jzus.B1600343"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102415623071"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00015-0"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-017-0639-3"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01211-4"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2008.09.007"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.05.2010.3040"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-8-115"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.04.040"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-16-S1-A125"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002986"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-018-1625-8"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2013.08.028"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.12126"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1608939"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002456"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.03.027"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2007.01994.x"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13413"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760-017-0845-0"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.103.4.0608"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13132"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmt028"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.13942","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/head.13942","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.13942","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:26:45Z","timestamp":1762072005000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.13942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,30]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1111\/head.13942"],"URL":"https:\/\/doi.org\/10.1111\/head.13942","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,30]]},"assertion":[{"value":"2020-03-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}