{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T10:10:26Z","timestamp":1778753426937,"version":"3.51.4"},"reference-count":11,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2025,8,19]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>A 49-year-old woman developed symptoms of syringomyelia 3 years after having presented with spontaneous intracranial hypotension (SIH). She had previously undergone two unsuccessful non-targeted epidural blood patches. The MR scan showed features of cervicothoracic syringomyelia and ongoing intracranial features of SIH. Following two further ineffective non-targeted epidural blood patches, a cerebrospinal fluid venous fistula was identified on myelography, which was surgically disconnected. At subsequent follow-up, she showed marked and progressive clinical and radiological improvement. This case shows that offering curative treatment for the underlying cause of SIH is an effective\u2014and the preferred\u2014way of managing SIH-associated syrinx.<\/jats:p>","DOI":"10.1136\/pn-2025-004683","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T17:20:20Z","timestamp":1756833620000},"page":"258-261","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Syrinx in spontaneous intracranial hypotension treated by surgical disconnection of CSF venous fistula"],"prefix":"10.1136","volume":"26","author":[{"given":"David","family":"Rowland","sequence":"first","affiliation":[{"name":"Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dwij","family":"Mehta","sequence":"additional","affiliation":[{"name":"Headache and Facial Pain Group, University College London Queen Square Institute of Neurology, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Indran","family":"Davagnanam","sequence":"additional","affiliation":[{"name":"Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed K","family":"Toma","sequence":"additional","affiliation":[{"name":"Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parag","family":"Sayal","sequence":"additional","affiliation":[{"name":"Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manjit","family":"Matharu","sequence":"additional","affiliation":[{"name":"Headache and Facial Pain Group, University College London Queen Square Institute of Neurology, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"2026051402150807000_26.3.258.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00423-3"},{"key":"2026051402150807000_26.3.258.2","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2023.1145949","article-title":"Diagnosis and treatment evaluation in patients with spontaneous intracranial hypotension","volume":"14","author":"Mehta","year":"2023","journal-title":"Front Neurol"},{"key":"2026051402150807000_26.3.258.3","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1212\/WNL.0000000000000639","article-title":"CSF-venous fistula in spontaneous intracranial hypotension","volume":"83","author":"Schievink","year":"2014","journal-title":"Neurology (ECronicon)"},{"key":"2026051402150807000_26.3.258.4","doi-asserted-by":"publisher","DOI":"10.1177\/0333102419881673"},{"key":"2026051402150807000_26.3.258.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-006-0029-5"},{"key":"2026051402150807000_26.3.258.6","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1017\/S0317167100007824","article-title":"A treatable mimic of Chiari malformation with syringomyelia","volume":"36","author":"Zwicker","year":"2009","journal-title":"Can J Neurol Sci"},{"key":"2026051402150807000_26.3.258.7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.95.5.0905"},{"key":"2026051402150807000_26.3.258.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.07.108"},{"key":"2026051402150807000_26.3.258.9","doi-asserted-by":"crossref","DOI":"10.3171\/CASE2211","article-title":"Cervical cerebrospinal fluid venous fistula with syringomyelia treated with suboccipital decompression: illustrative case","volume":"3","author":"Hsieh","year":"2022","journal-title":"J Neurosurg Case Lessons"},{"key":"2026051402150807000_26.3.258.10","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2021-018466"},{"key":"2026051402150807000_26.3.258.11","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2023-021012"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/pn-2025-004683","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T09:15:19Z","timestamp":1778750119000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/pn-2025-004683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,5,14]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/pn-2025-004683"],"URL":"https:\/\/doi.org\/10.1136\/pn-2025-004683","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"value":"1474-7758","type":"print"},{"value":"1474-7766","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]}}}