{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:34:07Z","timestamp":1777494847482,"version":"3.51.4"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:p>Cerebrospinal fluid leakage causing a pseudomeningocele is a well-recognized complication after spine surgery. The repair of pseudomeningocele in a symptomatic patient is usually accomplished with direct open surgical repair of the durotomy, prolonged lumbar drainage, and\/or placement of an epidural blood patch. The authors highlight a unique method of pseudomeningocele repair by presenting 2 cases of adolescent girls with symptomatic lumbar pseudomeningoceles. In both cases ultrasound was used to guide the aspiration of CSF from each pseudomeningocele and to apply the epidural blood patch. Both patients had complete and immediate resolution of symptoms. The authors found ultrasound to be a useful tool to assess the extent of the CSF leakage, to determine the degree of aspiration of the extradural CSF, and to confirm the injection of the blood into the epidural space and the space created by the pseudomeningocele.<\/jats:p>","DOI":"10.3171\/2012.9.peds12314","type":"journal-article","created":{"date-parts":[[2012,10,26]],"date-time":"2012-10-26T14:04:02Z","timestamp":1351260242000},"page":"87-90","source":"Crossref","is-referenced-by-count":18,"title":["Symptomatic postsurgical cerebrospinal fluid leak treated by aspiration and epidural blood patch under ultrasound guidance in 2 adolescents"],"prefix":"10.3171","volume":"11","author":[{"given":"Jared S.","family":"Fridley","sequence":"first","affiliation":[{"name":"Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Jea","sequence":"additional","affiliation":[{"name":"Neuro-Spine Program, Division of Pediatric Neurosurgery, Department of Neurosurgery; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris D.","family":"Glover","sequence":"additional","affiliation":[{"name":"Neuro-Anesthesiology Program, Division of Pediatric Anesthesiology, Department of Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim P.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Neuro-Anesthesiology Program, Division of Pediatric Anesthesiology, Department of Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds12314","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1007\/s007010200068","article-title":"Complications of closed continuous lumbar drainage of cerebrospinal fluid","volume":"144","author":"A\u00e7ikba\u015f","year":"2002"},{"key":"b2-peds12314","series-title":"Br J Anaesth","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/bja\/71.2.179","article-title":"Postdural puncture headache and extradural blood patch","volume":"71","author":"Carrie","year":"1993"},{"key":"b3-peds12314","series-title":"Anesth Analg","first-page":"567","article-title":"Epidural blood patch: a rapid coagulation response","volume":"70","author":"Cook","year":"1990"},{"key":"b4-peds12314","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.2106\/00004623-198163070-00010","article-title":"Treatment of dural tears associated with spinal surgery","volume":"63","author":"Eismont","year":"1981"},{"key":"b5-peds12314","series-title":"Reg Anesth Pain Med","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1053\/rapm.2001.22630","article-title":"Cerebrospinal fluid leak treated by aspiration and epidural blood patch under computed tomography guidance","volume":"26","author":"Elbiaadi-Aziz","year":"2001"},{"key":"b6-peds12314","series-title":"Eur J Anaesthesiol","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1097\/EJA.0b013e3283350c7c","article-title":"Ultrasoundguided epidural blood patch","volume":"27","author":"Gnaho","year":"2010"},{"key":"b7-peds12314","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1038\/sj.sc.3100880","article-title":"Epidural blood patch under fluoroscopic control: non-surgical treatment of lumbar cerebrospinal fluid fistula following implantation of an intrathecal pump system","volume":"37","author":"Huch","year":"1999"},{"key":"b8-peds12314","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1097\/00007632-198904000-00021","article-title":"Long-term results of lumbar spine surgery complicated by unintended incidental durotomy","volume":"14","author":"Jones","year":"1989"},{"key":"b9-peds12314","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1097\/ALN.0b013e318209379f","article-title":"Ultrasound-guided epidural blood patch","volume":"114","author":"Khayata","year":"2011"},{"key":"b10-peds12314","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"984","DOI":"10.2106\/00004623-198971070-00004","article-title":"Closed subarachnoid drainage for management of cerebrospinal fluid leakage after an operation on the spine","volume":"71","author":"Kitchel","year":"1989"},{"key":"b11-peds12314","series-title":"J Clin Anesth","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/0952-8180(92)90120-P","article-title":"Epidural blood patch as treatment for a surgical durocutaneous fistula","volume":"4","author":"Lauer","year":"1992"},{"key":"b12-peds12314","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2223","DOI":"10.1097\/00007632-199410000-00018","article-title":"Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch","volume":"19","author":"Maycock","year":"1994"},{"key":"b13-peds12314","series-title":"Clin Neurosurg","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1093\/neurosurgery\/23.CN_suppl_1.435","article-title":"Complications of laminectomy","volume":"23","author":"Mayfield","year":"1976"},{"key":"b14-peds12314","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2273","DOI":"10.1097\/00007632-199610010-00019","article-title":"Pseudomeningocele\/CSF fistula in a patient with lumbar spinal implants treated with epidural blood patch and a brief course of closed subarachnoid drainage. A case report","volume":"21","author":"McCormack","year":"1996"},{"key":"b15-peds12314","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"268","DOI":"10.2106\/00004623-196850020-00005","article-title":"Meningeal pseudocysts (meningocele spurius) following laminectomy. Report of ten cases","volume":"50","author":"Miller","year":"1968"},{"key":"b16-peds12314","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1227\/00006123-199202000-00015","article-title":"Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial\/spinal cerebrospinal fluid fistula","volume":"30","author":"Shapiro","year":"1992"},{"key":"b17-peds12314","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1728","DOI":"10.2106\/00004623-199812000-00002","article-title":"Dural tears secondary to operations on the lumbar spine. 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