{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:06:53Z","timestamp":1780056413358,"version":"3.54.0"},"reference-count":33,"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>Spontaneous intracranial hypotension (SIH), characterized by abnormally low intracranial pressure (ICP), is complicated by chronic subdural hematoma (SDH) in approximately 20\u201225% of cases. However, the optimal treatment sequence for SIH accompanied by chronic SDH remains debated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>A 39-year-old woman diagnosed with SIH and SDH, despite the absence of significant neurological deficits or marked midline shift, experienced a 1-min generalized tonic-clonic seizure following a nontargeted L2\/3 epidural blood patch (EBP). Her symptoms promptly improved after bilateral burr-hole trephination performed during the same session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Blood injected during EBP displaced spinal cerebrospinal fluid cranially, acutely increasing ICP in a brain with poor compliance and triggering the seizure. Our review indicates that even mild signs of raised ICP \u2013 not just coma, pupillary changes, or a Glasgow Coma Scale score &lt;8 \u2013 can lead to serious complications post-EBP. Careful clinical and radiological assessment of ICP is essential. When intracranial hypertension is suspected, surgical decompression should precede EBP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_246_2026","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T11:19:55Z","timestamp":1780053595000},"page":"314","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Seizure following epidural blood patch in spontaneous intracranial hypotension complicated by subdural hematoma: Illustrated case and literature review"],"prefix":"10.25259","volume":"17","author":[{"given":"Gi Yeop","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Armed Forces Capital Hospital, Seongnam, Republic of Korea"},{"name":"Department of Neurosurgery, Seoul National University Bundang Hospital, Republic of 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