{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T21:28:07Z","timestamp":1789680487388,"version":"4.0.1"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>The authors present 2 cases of cervical myelopathy produced by engorged vertebral veins due to overshunting. Overshunting-associated myelopathy is a rare complication of CSF shunting. Coexisting cervical degenerative disc disease may further increase the difficulty of diagnosing the condition. Neurosurgeons and others who routinely evaluate patients with intracranial shunts should be familiar with this rare but possible diagnosis.<\/jats:p>","DOI":"10.3171\/2016.7.focus16179","type":"journal-article","created":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T03:39:30Z","timestamp":1472701170000},"page":"E16","source":"Crossref","is-referenced-by-count":20,"title":["Overshunting-associated myelopathy: report of 2 cases"],"prefix":"10.3171","volume":"41","author":[{"given":"Jason Man-kit","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Tuen Mun, Hong Kong Special Administrative Region, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hing-Yuen","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Tuen Mun, Hong Kong Special Administrative Region, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shing-Chau","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Tuen Mun, Hong Kong Special Administrative Region, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwong-Yui","family":"Yam","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Tuen Mun, Hong Kong Special Administrative Region, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-focus16179","series-title":"Neurology","first-page":"1321","article-title":"Syndrome of cerebral spinal fluid hypovolemia: clinical and imaging features and outcome","volume":"55","author":"Chung","year":"2000"},{"key":"b2-focus16179","series-title":"Neurology","first-page":"609","article-title":"Dural enhancement and cerebral displacement secondary to intracranial hypotension","volume":"43","author":"Fishman","year":"1993"},{"key":"b3-focus16179","series-title":"Cephalalgia","first-page":"318","article-title":"The timing of MRI determines the presence or absence of diffuse pachymeningeal enhancement in patients with spontaneous intracranial hypotension","volume":"28","author":"Fuh","year":"2008"},{"key":"b4-focus16179","series-title":"J Clin Neurosci","first-page":"2242","article-title":"Over-shunting associated myelopathy","volume":"21","author":"Howard","year":"2014"},{"issue":"1","key":"b5-focus16179","series-title":"Neurosurg Focus","first-page":"e6","article-title":"Cerebrospinal fluid volume depletion and its emerging clinical\/imaging syndromes","volume":"9","author":"Mokri","year":"2000"},{"key":"b6-focus16179","series-title":"Neurology","first-page":"1746","article-title":"The Monro-Kellie hypothesis: applications in CSF volume depletion","volume":"56","author":"Mokri","year":"2001"},{"key":"b7-focus16179","series-title":"Mayo Clin Proc","first-page":"1113","article-title":"Spontaneous cerebrospinal fluid leaks: from intracranial hypotension to cerebrospinal fluid hypovolemia\u2014 evolution of a concept","volume":"74","author":"Mokri","year":"1999"},{"issue":"6","key":"b8-focus16179","series-title":"Neurosurg Focus","first-page":"ECP2","article-title":"Intracranial hypotension syndrome: a comprehensive review","volume":"15","author":"Paldino","year":"2003"},{"key":"b9-focus16179","series-title":"J Korean Neurosurg Soc","first-page":"1","article-title":"Spontaneous intracranial hypotension: clinical presentation, imaging features and treatment","volume":"45","author":"Park","year":"2009"},{"key":"b10-focus16179","series-title":"Surg Neurol","first-page":"200","article-title":"Hydrocephalus: overdrainage by ventricular shunts. 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