{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:38:18Z","timestamp":1790354298737,"version":"4.1.0"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Spontaneous CSF leaks frequently cause headaches, meningismus, and nausea due to intracranial hypotension. When conservative treatment fails, surgical repair is indicated. Especially ventral leaks necessitate invasive approaches with substantial blood loss and tissue trauma. Full endoscopic spine surgery (FESS) enables circumferential access via the transforaminal approach. Here, the authors show the successful repair of a ventral CSF leak in the thoracic spine after removal of bony osteophytes utilizing FESS with placement of a dural substitute and sealant. Lasting symptom relief was reported. These results suggest that FESS is safe and efficient for the repair of spontaneous and incidental CSF leaks.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2024.1.FOCVID23209\">https:\/\/stream.cadmore.media\/r10.3171\/2024.1.FOCVID23209<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2024.1.focvid23209","type":"journal-article","created":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T03:00:48Z","timestamp":1711940448000},"page":"V17","source":"Crossref","is-referenced-by-count":5,"title":["Full endoscopic resection of ventral thoracic osteophyte and repair of spontaneous CSF leak"],"prefix":"10.3171","volume":"10","author":[{"given":"Nelson","family":"Sofoluke","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Geisinger Neuroscience Institute, Danville, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jannik","family":"Leyendecker","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Washington, Seattle, Washington; and"},{"name":"Department of Orthopedics and Trauma Surgery, University of Cologne, Faculty of Medicine, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph P.","family":"Hofstetter","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Washington, Seattle, Washington; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Konakondla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Geisinger Neuroscience Institute, Danville, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"7","key":"b1","series-title":"Neurology","first-page":"673","article-title":"A classification system of spontaneous spinal CSF leaks","volume":"87","author":"Schievink WI","year":"2016","unstructured":"Schievink WI, Maya MM, Jean-Pierre S, Nu\u00f1o M, Prasad RS, Moser FG. A classification system of spontaneous spinal CSF leaks. Neurology. 2016;87(7):673\u2013679."},{"key":"b2","series-title":"World Neurosurg","first-page":"133","article-title":"Spontaneous spinal cerebrospinal fluid leak: review and management algorithm","volume":"150","author":"Jones MR","year":"2021","unstructured":"Jones MR, Shlobin NA, Dahdaleh NS. Spontaneous spinal cerebrospinal fluid leak: review and management algorithm. World Neurosurg. 2021;150:133\u2013139."},{"issue":"3","key":"b3","series-title":"J Neurosurg Spine","first-page":"324","article-title":"Ultrafast dynamic computed tomography myelography for the precise identification of high-flow cerebrospinal fluid leaks caused by spiculated spinal osteophytes","volume":"22","author":"Thielen KR","year":"2015","unstructured":"Thielen KR, Sillery JC, Morris JM,  Ultrafast dynamic computed tomography myelography for the precise identification of high-flow cerebrospinal fluid leaks caused by spiculated spinal osteophytes. J Neurosurg Spine. 2015;22(3):324\u2013331."},{"issue":"10","key":"b4","series-title":"Eur Spine J","first-page":"2496","article-title":"Full endoscopic treatment of dural tears in lumbar spine surgery","volume":"26","author":"Oertel JM","year":"2017","unstructured":"Oertel JM, Burkhardt BW. Full endoscopic treatment of dural tears in lumbar spine surgery. Eur Spine J. 2017;26(10):2496\u20132503."},{"key":"b5","series-title":"World Neurosurg","first-page":"e578","article-title":"Full endoscopic repair of spontaneous ventral cerebrospinal fluid leaks in the spine: systematic review of surgical treatment options and illustrative case","volume":"168","author":"Barber SM","year":"2022","unstructured":"Barber SM, Sofoluke N, Reardon T,  Full endoscopic repair of spontaneous ventral cerebrospinal fluid leaks in the spine: systematic review of surgical treatment options and illustrative case. World Neurosurg. 2022;168:e578\u2013e586."},{"issue":"10","key":"b6","series-title":"Neurology","first-page":"1921","article-title":"The efficacy of epidural blood patch in spontaneous CSF leaks","volume":"57","author":"Sencakova D","year":"2001","unstructured":"Sencakova D, Mokri B, McClelland RL. The efficacy of epidural blood patch in spontaneous CSF leaks. Neurology. 2001;57(10):1921\u20131923."},{"issue":"7","key":"b1","series-title":"Neurology","first-page":"673","article-title":"A classification system of spontaneous spinal CSF leaks","volume":"87","author":"Schievink WI","year":"2016","unstructured":"Schievink WI, Maya MM, Jean-Pierre S, Nu\u00f1o M, Prasad RS, Moser FG. A classification system of spontaneous spinal CSF leaks. Neurology. 2016;87(7):673\u2013679."},{"key":"b2","series-title":"World Neurosurg","first-page":"133","article-title":"Spontaneous spinal cerebrospinal fluid leak: review and management algorithm","volume":"150","author":"Jones MR","year":"2021","unstructured":"Jones MR, Shlobin NA, Dahdaleh NS. Spontaneous spinal cerebrospinal fluid leak: review and management algorithm. World Neurosurg. 2021;150:133\u2013139."},{"issue":"3","key":"b3","series-title":"J Neurosurg Spine","first-page":"324","article-title":"Ultrafast dynamic computed tomography myelography for the precise identification of high-flow cerebrospinal fluid leaks caused by spiculated spinal osteophytes","volume":"22","author":"Thielen KR","year":"2015","unstructured":"Thielen KR, Sillery JC, Morris JM,  Ultrafast dynamic computed tomography myelography for the precise identification of high-flow cerebrospinal fluid leaks caused by spiculated spinal osteophytes. 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World Neurosurg. 2022;168:e578\u2013e586."},{"issue":"10","key":"b6","series-title":"Neurology","first-page":"1921","article-title":"The efficacy of epidural blood patch in spontaneous CSF leaks","volume":"57","author":"Sencakova D","year":"2001","unstructured":"Sencakova D, Mokri B, McClelland RL. The efficacy of epidural blood patch in spontaneous CSF leaks. Neurology. 2001;57(10):1921\u20131923."}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/10\/2\/article-pV17.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/10\/2\/article-pV17.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/10\/2\/article-pV17.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:39:10Z","timestamp":1782862750000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/10\/2\/article-pV17.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":12,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2024.1.focvid23209","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}