{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:49:31Z","timestamp":1757612971496,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2024,8,3]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>A middle-aged man had classical clinical and radiographical features of spontaneous intracranial hypotension, refractory to conservative management. His medical history included antiphospholipid syndrome, autoimmune thrombocytopenia and recurrent thrombotic events. To reduce his risk from epidural blood patching, we stopped his anticoagulation, but he developed thrombosis. Despite therapeutic challenges, we performed a fluoroscopically guided epidural blood patch successfully at multiple levels, with significant symptom and radiological improvement maintained at 9\u2009months. We review the place of epidural blood patching in people with spontaneous intracranial hypotension who either take anticoagulants or have coexisting blood disorders.<\/jats:p>","DOI":"10.1136\/pn-2024-004218","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T03:01:54Z","timestamp":1725505314000},"page":"60-62","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Epidural blood patching in an anticoagulated patient with intracranial hypotension"],"prefix":"10.1136","volume":"25","author":[{"given":"Gabriela","family":"Petersen","sequence":"first","affiliation":[{"name":"ITESM Campus Guadalajara, Zapopan, Jalisco, Mexico"},{"name":"Instituto Neurol\u00f3gico de Guadalajara, Zapopan, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica Edith","family":"Salmer\u00f3n-Mercado","sequence":"additional","affiliation":[{"name":"Instituto Neurol\u00f3gico de Guadalajara, Zapopan, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla","family":"Madrigal-Renter\u00eda","sequence":"additional","affiliation":[{"name":"Instituto Neurol\u00f3gico de Guadalajara, Zapopan, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"D\u00edaz-Alba","sequence":"additional","affiliation":[{"name":"ITESM Campus Guadalajara, Zapopan, Jalisco, Mexico"},{"name":"Instituto Neurol\u00f3gico de Guadalajara, Zapopan, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5451-8265","authenticated-orcid":false,"given":"V\u00edctor","family":"Garc\u00eda-Navarro","sequence":"additional","affiliation":[{"name":"ITESM Campus Guadalajara, Zapopan, Jalisco, Mexico"},{"name":"Instituto Neurol\u00f3gico de Guadalajara, Zapopan, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"key":"2025090409255785000_25.1.60.1","doi-asserted-by":"publisher","DOI":"10.1136\/pn-2023-003986"},{"key":"2025090409255785000_25.1.60.2","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1017\/S0317167100013664","article-title":"Spontaneous Intracranial Hypotension: Recommendations for Management","volume":"40","author":"Amoozegar","year":"2013","journal-title":"Can J Neurol Sci"},{"key":"2025090409255785000_25.1.60.3","doi-asserted-by":"crossref","unstructured":"Scott EW , Sueltenfuss MS . Epidural Blood Patch in a Patient Taking Enoxaparin, Following Acoustic Neuroma Resection. J Blood Disord Transfus 2011;02. doi:10.4172\/2155-9864.1000109","DOI":"10.4172\/2155-9864.1000109"},{"key":"2025090409255785000_25.1.60.4","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2017-001820"},{"key":"2025090409255785000_25.1.60.5","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.jclinane.2003.09.011","article-title":"Epidural blood patch in a patient taking enoxaparin","volume":"16","author":"Gaiser","year":"2004","journal-title":"J Clin Anesth"},{"key":"2025090409255785000_25.1.60.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2101561"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/pn-2024-004218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T16:26:05Z","timestamp":1757003165000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/pn-2024-004218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,4]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,16]]},"published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1136\/pn-2024-004218"],"URL":"https:\/\/doi.org\/10.1136\/pn-2024-004218","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"type":"print","value":"1474-7758"},{"type":"electronic","value":"1474-7766"}],"subject":[],"published":{"date-parts":[[2024,9,4]]}}}