{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T12:08:06Z","timestamp":1752667686357},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:00:00Z","timestamp":1343260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p>Spontaneous intracranial hypotension (<jats:styled-content style=\"fixed-case\">SIH<\/jats:styled-content>) is considered to be a very rare disease. It is characterised by an orthostatic headache in the absence of a past history of a trauma or a dural puncture. <jats:styled-content style=\"fixed-case\">SIH<\/jats:styled-content> is caused by a spontaneous spinal cerebrospinal fluid (<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>) leakage demonstrated by neuroradiological studies in most of the patients. Conservative treatment usually includes bed rest, hydration and administration of caffeine or steroids. However, when the patient is refractory to the conservative treatment, an epidural blood patch (<jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content>) is performed. We report a 34\u2010year\u2010old woman with <jats:styled-content style=\"fixed-case\">SIH<\/jats:styled-content> and no neuroradiologically demonstrable clear point of <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content> leakage, who was treated with a double <jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content> at two different levels (lumbar and thoracic) in the same procedure. The patient was successfully managed, and she was still asymptomatic at the 18 months follow\u2010up. After review of literature, we observed that execution of a double <jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content> at the same time is not a common procedure for treatment of <jats:styled-content style=\"fixed-case\">SIH<\/jats:styled-content>. We consider that simultaneous use of two <jats:styled-content style=\"fixed-case\">EBP<\/jats:styled-content> could be useful as a novel treatment in those cases of <jats:styled-content style=\"fixed-case\">SIH<\/jats:styled-content> without demonstration of <jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content> leakage.<\/jats:p>","DOI":"10.1111\/j.1399-6576.2012.02742.x","type":"journal-article","created":{"date-parts":[[2012,7,27]],"date-time":"2012-07-27T04:25:27Z","timestamp":1343363127000},"page":"1332-1335","source":"Crossref","is-referenced-by-count":10,"title":["Spontaneous intracranial hypotension syndrome treated with a double epidural blood patch"],"prefix":"10.1111","volume":"56","author":[{"given":"J. M.","family":"BELE\u00d1A","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Hospital Universitario del Sureste  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"NU\u00d1EZ","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Hospital Universitario Ram\u00f3n y Cajal  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"YUSTE","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Hospital Universitario del Sureste  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. F.","family":"PLAZA\u2010NIETO","sequence":"additional","affiliation":[{"name":"Section of Neurology Hospital Universitario del Sureste  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. J.","family":"JIM\u00c9NEZ\u2010JIM\u00c9NEZ","sequence":"additional","affiliation":[{"name":"Section of Neurology Hospital Universitario del Sureste  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"SERRANO","sequence":"additional","affiliation":[{"name":"Department of Radiology Hospital La Moraleja  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,7,26]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000097200.18478.7B"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2003.00587.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11940-008-0001-5"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2007.22.2.1"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00115550-200111000-00017"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000144339.34733.E9"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000163093.38616.35"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2007.01376.x"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2008.03.014"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/RLU.0b013e318162d955"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2011.01911.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0956"},{"key":"e_1_2_5_14_1","first-page":"1","article-title":"The International Classification of Headache Disorders","volume":"24","author":"Headache Classification Subcommittee of the International Headache Society","year":"2004","journal-title":"Cephalalgia"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.19.2286"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2009.02913.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000206856"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-009-9121-y"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.3171\/2009.10.JNS09806"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.3171\/2010.5.JNS091405"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.3344\/kjp.2010.23.1.46"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.4065\/72.5.400"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.3171\/2009.6.JNS09415"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1399-6576.2012.02742.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1399-6576.2012.02742.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T01:04:17Z","timestamp":1695517457000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1399-6576.2012.02742.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,26]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1111\/j.1399-6576.2012.02742.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1399-6576.2012.02742.x","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"value":"0001-5172","type":"print"},{"value":"1399-6576","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7,26]]}}}