{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:26Z","timestamp":1787755346607,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 73-year-old woman, after spinal surgery, presented with symptomatic spinal subdural extra-arachnoid hygroma (SSEH) because of a fall on the third postoperative day. The hygroma was diagnosed by magnetic resonance imaging (MRI). Lumbar puncture was performed under local anesthesia, after which the leg pain disappeared immediately. MRI obtained immediately after puncture and 1 week later confirmed disappearance of the hygroma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although dural transection is mentioned in most of the reports on treatment of symptomatic postoperative SSEH, we were able to treat this entity by epidural puncture. In the absence of paraplegia or cystorectal disturbance, puncture can be an effective and minimally invasive treatment option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00388","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T14:02:49Z","timestamp":1701698569000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Postoperative Spinal Subdural Extra-arachnoid Hygroma Because of Trauma: Resolution with Lumbar Puncture"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2582-165X","authenticated-orcid":false,"given":"Daigo","family":"Arimura","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2825-1819","authenticated-orcid":false,"given":"Akira","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1682-2749","authenticated-orcid":false,"given":"Shunsuke","family":"Katsumi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3957-8323","authenticated-orcid":false,"given":"Shintaro","family":"Obata","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7511-6073","authenticated-orcid":false,"given":"Tomoaki","family":"Kanai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1653-4309","authenticated-orcid":false,"given":"Mitsuru","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Jikei University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/02688697.2022.2154748","article-title":"Post-operative tension spinal subdural extra-arachnoid hygroma of the lumbar spine: case series, literature review, and 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