{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:17:52Z","timestamp":1793377072401,"version":"4.5.0"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"14","license":[{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,4,7]]},"abstract":"\n BACKGROUND<\/jats:title>\n Spontaneous intracranial hypotension (SIH) is caused by CSF leakage through the skull base or, more commonly, the spine. In the spine, the CSF might leak into either the epidural space or a paraspinal vein in patients with a CSF-venous fistula. Nonoperative management, including caffeine, abdominal binders, oral fluids, and bed rest, is typically appropriate, although it yields unsatisfactory results for some patients.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors illustrate the surgical repair of a ventral, cervical CSF leak through a single-level anterior cervical discectomy and fusion (ACDF) without corpectomy in a 25-year-old patient with SIH. MRI and CT revealed a longitudinally extensive ventral epidural CSF collection and a calcified disc bulge at C5\u20136. Myelography showed no alternative source of leak. While a prior report describes repair via corpectomy, this article describes the technique for repair via ACDF only, with the use of a device designed for dural repair in minimally invasive spine surgery (DuraStat). This approach was particularly appealing in a young patient, and the dural defect was successfully repaired.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n The ability to perform repair of a ventral cervical CSF leak through a single-level ACDF might allow for the resolution of this challenging-to-treat condition while minimizing surgical morbidity.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24770<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24770","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T05:40:51Z","timestamp":1744004451000},"source":"Crossref","is-referenced-by-count":4,"title":["Repair of a ventral cervical cerebrospinal fluid leak via a single-level anterior cervical discectomy and fusion without corpectomy: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6697-9966","authenticated-orcid":true,"given":"Anthony J.","family":"Maxin","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska, Omaha, Nebraska"},{"name":"School of Medicine, Creighton University, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler S.","family":"Pistone","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mithun G.","family":"Sattur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6291-9061","authenticated-orcid":true,"given":"Nicholas","family":"Borg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Lancet Neurol","first-page":"369","article-title":"Spontaneous intracranial hypotension: searching for the CSF leak","volume":"21","author":"Dobrocky","year":"2022","unstructured":"Dobrocky TNicholson PH\u00e4ni LSpontaneous intracranial hypotension: searching for the CSF leak. Lancet Neurol. 2022;21(4):369-380."},{"issue":"23","key":"bib2","series-title":"N Engl J Med","first-page":"2173","article-title":"Spontaneous intracranial hypotension","volume":"385","author":"Schievink","year":"2021","unstructured":"Schievink WI.Spontaneous intracranial hypotension. N Engl J Med. 2021;385(23):2173-2178."},{"issue":"4","key":"bib3","series-title":"Oper Neurosurg (Hagerstown)","first-page":"516","article-title":"Posterior transdural repair of a spontaneous ventral thoracic cerebrospinal fluid leak: 2-dimensional operative video","volume":"27","author":"Peters","year":"2024","unstructured":"Peters DRBernard JMorgan RRossi V.Posterior transdural repair of a spontaneous ventral thoracic cerebrospinal fluid leak: 2-dimensional operative video. Oper Neurosurg (Hagerstown). 2024;27(4):516."},{"issue":"3","key":"bib4","series-title":"Oper Neurosurg (Hagerstown)","first-page":"e212","article-title":"Direct anterior repair of spontaneous ventral cervical cerebrospinal fluid leak: 2-dimensional operative video","volume":"24","author":"Lewis","year":"2023","unstructured":"Lewis CSDiaz-Aguilar LDPham MH.Direct anterior repair of spontaneous ventral cervical cerebrospinal fluid leak: 2-dimensional operative video. Oper Neurosurg (Hagerstown). 2023;24(3):e212."},{"issue":"10","key":"bib5","series-title":"J Neurol","first-page":"5466","article-title":"The impact of spontaneous intracranial hypotension on social life and health-related quality of life","volume":"269","author":"Jesse","year":"2022","unstructured":"Jesse CMH\u00e4ni LFung CThe impact of spontaneous intracranial hypotension on social life and health-related quality of life. J Neurol. 2022;269(10):5466-5473."},{"key":"bib6","series-title":"Front Surg","first-page":"642972","article-title":"An investigation of a novel dural repair device for intraoperative incidental durotomy repair","volume":"8","author":"Shenoy","year":"2021","unstructured":"Shenoy KDonnally CJIIISheha EDKhanna KPrasad SK.An investigation of a novel dural repair device for intraoperative incidental durotomy repair. Front Surg. 2021;8:642972."},{"issue":"5","key":"bib7","series-title":"JAMA Neurol","first-page":"580","article-title":"Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings","volume":"76","author":"Dobrocky","year":"2019","unstructured":"Dobrocky TGrunder LBreiding PSAssessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol. 2019;76(5):580-587."},{"issue":"4","key":"bib1","series-title":"Lancet Neurol","first-page":"369","article-title":"Spontaneous intracranial hypotension: searching for the CSF leak","volume":"21","author":"Dobrocky","year":"2022","unstructured":"Dobrocky TNicholson PH\u00e4ni LSpontaneous intracranial hypotension: searching for the CSF leak. Lancet Neurol. 2022;21(4):369-380."},{"issue":"23","key":"bib2","series-title":"N Engl J Med","first-page":"2173","article-title":"Spontaneous intracranial hypotension","volume":"385","author":"Schievink","year":"2021","unstructured":"Schievink WI.Spontaneous intracranial hypotension. N Engl J Med. 2021;385(23):2173-2178."},{"issue":"4","key":"bib3","series-title":"Oper Neurosurg (Hagerstown)","first-page":"516","article-title":"Posterior transdural repair of a spontaneous ventral thoracic cerebrospinal fluid leak: 2-dimensional operative video","volume":"27","author":"Peters","year":"2024","unstructured":"Peters DRBernard JMorgan RRossi V.Posterior transdural repair of a spontaneous ventral thoracic cerebrospinal fluid leak: 2-dimensional operative video. Oper Neurosurg (Hagerstown). 2024;27(4):516."},{"issue":"3","key":"bib4","series-title":"Oper Neurosurg (Hagerstown)","first-page":"e212","article-title":"Direct anterior repair of spontaneous ventral cervical cerebrospinal fluid leak: 2-dimensional operative video","volume":"24","author":"Lewis","year":"2023","unstructured":"Lewis CSDiaz-Aguilar LDPham MH.Direct anterior repair of spontaneous ventral cervical cerebrospinal fluid leak: 2-dimensional operative video. Oper Neurosurg (Hagerstown). 2023;24(3):e212."},{"issue":"10","key":"bib5","series-title":"J Neurol","first-page":"5466","article-title":"The impact of spontaneous intracranial hypotension on social life and health-related quality of life","volume":"269","author":"Jesse","year":"2022","unstructured":"Jesse CMH\u00e4ni LFung CThe impact of spontaneous intracranial hypotension on social life and health-related quality of life. J Neurol. 2022;269(10):5466-5473."},{"key":"bib6","series-title":"Front Surg","first-page":"642972","article-title":"An investigation of a novel dural repair device for intraoperative incidental durotomy repair","volume":"8","author":"Shenoy","year":"2021","unstructured":"Shenoy KDonnally CJIIISheha EDKhanna KPrasad SK.An investigation of a novel dural repair device for intraoperative incidental durotomy repair. Front Surg. 2021;8:642972."},{"issue":"5","key":"bib7","series-title":"JAMA Neurol","first-page":"580","article-title":"Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings","volume":"76","author":"Dobrocky","year":"2019","unstructured":"Dobrocky TGrunder LBreiding PSAssessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol. 2019;76(5):580-587."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/14\/article-CASE24770.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/14\/article-CASE24770.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/14\/article-CASE24770.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:40:14Z","timestamp":1770075614000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/14\/article-CASE24770.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,7]]},"references-count":14,"journal-issue":{"issue":"14"},"URL":"https:\/\/doi.org\/10.3171\/case24770","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,7]]}}}