{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T06:45:41Z","timestamp":1776926741933,"version":"3.51.2"},"reference-count":62,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"24","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"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":[[2025,6,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Intracranial hypotension due to a CSF leak has many possible etiologies including traumatic dural tears, CSF-venous fistulas, iatrogenic causes, and elevated intracranial pressure. An example of traumatic rupture of a preexisting congenital spinal cyst (SC) in the sacrum causing a symptomatic CSF leak has not been described in the literature; therefore, the authors present the case of a 13-year-old female with a previously undiagnosed SC (Nabor type IB, sacral meningocele) found to have symptomatic intracranial hypotension following a ground-level fall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Traumatic rupture of SCs may cause a dural tear, resulting in stigmata of intracranial hypotension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>SCs are rare entities that are often asymptomatic but should be carefully considered in the differential diagnoses for intracranial hypotension, even following low-impact trauma. Symptoms resolve with definitive treatment of dural tear, and recurrence rates are low.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE2555\">https:\/\/thejns.org\/doi\/10.3171\/CASE2555<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2555","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T20:02:15Z","timestamp":1750104135000},"source":"Crossref","is-referenced-by-count":1,"title":["Symptomatic cerebral spinal fluid leak (or intracranial hypotension) due to sacral extradural cyst rupture after sacral fracture: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0422-1153","authenticated-orcid":true,"given":"Breanna L.","family":"Sheldon","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Tucson, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7714-5502","authenticated-orcid":true,"given":"Jerry M.","family":"Brown","sequence":"additional","affiliation":[{"name":"Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Ozgur","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, University of Arizona, Tucson, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard V.","family":"Chua","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Tucson, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Otolaryngol Clin North Am","first-page":"857","article-title":"Traumatic cerebrospinal fluid leaks","volume":"44","author":"Prosser","year":"2011","unstructured":"Prosser JDVender JRSolares CA.Traumatic cerebrospinal fluid leaks. Otolaryngol Clin North Am. 2011;44(4):857-873, vii."},{"issue":"5","key":"bib2","series-title":"Acta Neurochir (Wien)","first-page":"579","article-title":"Spinal extradural arachnoid cyst","volume":"148","author":"Choi","year":"2006","unstructured":"Choi JYKim SHLee WSSung KH.Spinal extradural arachnoid cyst. Acta Neurochir (Wien). 2006;148(5):579-585."},{"key":"bib3","series-title":"Brain Spine","first-page":"100904","article-title":"Spinal arachnoid cysts: a case series & systematic review of the literature","volume":"2","author":"Kalsi","year":"2022","unstructured":"Kalsi PHejrati NCharalampidis ASpinal arachnoid cysts: a case series & systematic review of the literature. Brain Spine. 2022;2:100904."},{"issue":"4","key":"bib4","series-title":"J Neurosurg Pediatr","first-page":"432","article-title":"Spinal arachnoid cysts in the pediatric population: report of 31 cases and a review of the literature","volume":"9","author":"Bond","year":"2012","unstructured":"Bond AEZada GBowen IMcComb JGKrieger MD.Spinal arachnoid cysts in the pediatric population: report of 31 cases and a review of the literature. J Neurosurg Pediatr. 2012;9(4):432-441."},{"issue":"3","key":"bib5","series-title":"J Neurosurg","first-page":"266","article-title":"Noncommunicating spinal extradural arachnoid cyst causing spinal cord compression in a child","volume":"103","author":"Liu","year":"2005","unstructured":"Liu JKCole CDSherr GTKestle JRWalker ML.Noncommunicating spinal extradural arachnoid cyst causing spinal cord compression in a child. J Neurosurg. 2005;103(3suppl):266-269."},{"key":"bib6","series-title":"Surg Neurol Int","first-page":"123","article-title":"Extradural spinal cyst in a pediatric patient: a case report","volume":"15","author":"Sawaya","year":"2024","unstructured":"Sawaya JSavla PMinasian T.Extradural spinal cyst in a pediatric patient: a case report. Surg Neurol Int. 2024;15:123."},{"issue":"8","key":"bib7","series-title":"Spine J","first-page":"e10","article-title":"Spinal extradural arachnoid cyst","volume":"9","author":"Tureyen","year":"2009","unstructured":"Tureyen KSenol NSahin BKarahan N.Spinal extradural arachnoid cyst. Spine J. 2009;9(8):e10-e15."},{"issue":"2","key":"bib8","series-title":"J Pediatr Neurosci","first-page":"211","article-title":"Pediatric symptomatic sacral extradural arachnoid cyst: surgical management review","volume":"13","author":"Satyarthee","year":"2018","unstructured":"Satyarthee GD.Pediatric symptomatic sacral extradural arachnoid cyst: surgical management review. 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Clin Neuroradiol. 2023;33(4):957-964."},{"issue":"5","key":"bib28","series-title":"J Neurosurg","first-page":"808","article-title":"Treatment of spontaneous cerebrospinal fluid leak with epidural blood patch. Case report","volume":"70","author":"Rupp","year":"1989","unstructured":"Rupp SMWilson CB.Treatment of spontaneous cerebrospinal fluid leak with epidural blood patch. Case report. J Neurosurg. 1989;70(5):808-810."},{"issue":"4","key":"bib29","series-title":"Eur J Paediatr Neurol","first-page":"678","article-title":"Chiari-like displacement due to spontaneous intracranial hypotension in an adolescent: successful treatment by epidural blood patch","volume":"21","author":"Sch\u00f6nberger","year":"2017","unstructured":"Sch\u00f6nberger JM\u00f6hlenbruch MSeitz ABu\u00dfmann CB\u00e4chli HK\u00f6lker S.Chiari-like displacement due to spontaneous intracranial hypotension in an adolescent: successful treatment by epidural blood patch. Eur J Paediatr Neurol. 2017;21(4):678-681."},{"key":"bib30","series-title":"Clin Neurol Neurosurg","first-page":"106140","article-title":"Traumatic vs Spontaneous cerebrospinal fluid Hypotension Headache: our experience in a series of 137 cases","volume":"198","author":"Villamil","year":"2020","unstructured":"Villamil FRuella MPerez ATraumatic vs Spontaneous cerebrospinal fluid Hypotension Headache: our experience in a series of 137 cases. 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