{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,7,16]],"date-time":"2022-07-16T11:42:18Z","timestamp":1657971738049},"reference-count":28,"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>Penetrating spinal cord injury (PSCI) represents an average of 5.5% of all SCIs among civilians in the United States. The formation of a cerebrospinal fluid (CSF) fistula following PSCI occurs in approximately 9% of cases. Intra-abdominal CSF fistulae are rarely reported.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>We present the case of a 28-year-old Caucasian female who suffered a single gunshot wound to the abdomen with a missile fragment lodged within the left L2 pedicle and transverse process without obvious canal compromise. The patient developed bacterial meningitis 13 days after the initial injury, treated with IV antibiotics. CT myelogram demonstrated intra-abdominal ventral CSF fistula from the left L2\u2013L3 neuroforamen. The patient was successfully treated with fluoroscopy-guided dorsal autologous blood patch graft.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This case highlights a rare complication of PSCI successfully managed with the use of a blood patch graft.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_390_2022","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T10:39:05Z","timestamp":1657881545000},"page":"308","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Meningitis due to intra-abdominal cerebrospinal fluid fistula following gunshot wound successfully treated with antibiotics and blood patch: A case report and literature review"],"prefix":"10.25259","volume":"13","author":[{"given":"Derek David","family":"George","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifton","family":"Houk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Allyn","family":"Pieters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Towner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan J.","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"10.25259\/SNI_390_2022\/ref-1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4103\/jpn.JPN_176_16","article-title":"A rare cause of pleural effusion; cerebrospinal fluid leakage","volume":"12","author":"Alakaya","year":"2017","journal-title":"J Pediatr Neurosci"},{"key":"10.25259\/SNI_390_2022\/ref-2","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.3174\/ajnr.A4842","article-title":"CT fluoroscopy-guided blood patching of ventral CSF leaks by direct needle placement in the ventral epidural space using a transforaminal approach","volume":"37","author":"Amrhein","year":"2016","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_390_2022\/ref-3","doi-asserted-by":"crossref","first-page":"e985","DOI":"10.1016\/j.wneu.2020.11.059","article-title":"Penetrating spinal cord injury in civilians: Analysis of a national database","volume":"146","author":"Avila","year":"2021","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_390_2022\/ref-4","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1007\/s00586-018-5537-9","article-title":"Management of a posterior gunshot injury with a floating pedicle and cerebrospinal fluid leak","volume":"27","author":"Bourghli","year":"2018","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_390_2022\/ref-5","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/foc.2003.15.6.6","article-title":"Spinal pseudomeningoceles and cerebrospinal fluid fistulas","volume":"15","author":"Couture","year":"2003","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_390_2022\/ref-6","doi-asserted-by":"crossref","first-page":"rjaa484","DOI":"10.1093\/jscr\/rjaa484","article-title":"Management of cerebrospinal fluid leak from cervical gunshot wounds with external ventricular drainage: A small case series","volume":"2020","author":"Crutcher","year":"2020","journal-title":"J Surg Case Rep"},{"key":"10.25259\/SNI_390_2022\/ref-7","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1038\/sc.2014.56","article-title":"Gunshot injuries in the spine","volume":"52","author":"de Barros Filho","year":"2014","journal-title":"Spinal Cord"},{"key":"10.25259\/SNI_390_2022\/ref-8","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1007\/BF03012979","article-title":"The epidural blood patch. 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