{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T01:31:15Z","timestamp":1682386275450},"reference-count":18,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>A spinal dural defect caused by needle placement for spinal level localization is an uncommon complication of cerebrospinal fluid leak with the potential for the development of intracranial hypertension.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>Our 48-year-old patient underwent unilateral fenestration and sequestrectomy for intractable L5 radiculopathy due to disc herniation at the level L4\u20135 on the right side. The spinal level was identified with fluoroscopy after placement of a 24-gauge Sprotte spinal needle on the right side. Intraoperatively, a sub-millimeter spinal dural defect was visualized on the ipsilateral side.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Caution is needed when needle placement is used to localize the spinal level for unilateral surgery.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_245_2021","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T07:53:21Z","timestamp":1643183601000},"page":"205","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dural leakage due to ipsilateral needle placement for spinal level localization in unilateral decompression surgery: A case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Lukas","family":"Andereggen","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kantonsspital Aarau, Tellstrasse, Aarau,"},{"name":"Department of Neurosurgery, Neurocenter and Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, Bern,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus M.","family":"Luedi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrassse, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,5,3]]},"reference":[{"key":"10.25259\/SNI_245_2021\/ref-1","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1056\/NEJMoa1912658","article-title":"Surgery versus conservative care for persistent sciatica lasting 4 to 12 months","volume":"382","author":"Bailey","year":"2020","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_245_2021\/ref-2","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.3171\/2014.6.JNS14550","article-title":"Spinal cerebrospinal fluid leak as the cause of chronic subdural hematomas in nongeriatric patients","volume":"121","author":"Beck","year":"2014","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_245_2021\/ref-3","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1212\/WNL.0000000000003122","article-title":"Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension","volume":"87","author":"Beck","year":"2016","journal-title":"Neurology"},{"key":"10.25259\/SNI_245_2021\/ref-4","first-page":"250","article-title":"Cerebrospinal fluid leaks following spinal surgery: Use of fat grafts for prevention and repair. 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