{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:25:50Z","timestamp":1762079150810},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1982,11]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 A-58-year-old woman experienced incapacitating headache and occipital paresthesiae for 5 years after lumbar myelography. Conservative methods of treatment failed. Successive investigations for a suspected cerebrospinal fluid (CSF) leak were unrevealing. Leakage of CSF from the subarachnoid space into the epidural space in the lumbar region was finally confirmed when oil-soluble contrast material (Pantopaque), injected into the cervical subarachnoid space, was revealed by a specific technical modification to be escaping from the lumbar sac. Repair of the dural defect with dorsolumbar fascia resulted in almost complete alleviation of symptoms. This case is unusual because of the radiographic technique used, the duration of symptoms, and the rarity of reports of successful surgical treatment for this serious complication of lumbar puncture.<\/jats:p>","DOI":"10.3171\/jns.1982.57.5.0703","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T13:57:05Z","timestamp":1241791025000},"page":"703-707","source":"Crossref","is-referenced-by-count":20,"title":["Surgical treatment of post-lumbar puncture dural CSF leak causing chronic headache"],"prefix":"10.3171","volume":"57","author":[{"given":"Hugh","family":"Harrington","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. Richard","family":"Tyler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keasley","family":"Welch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Anesth Analg (Cleve)","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1213\/00000539-197554040-00012","article-title":"Long-term follow-up of epidural blood patch.","volume":"54","author":"Abouleish","year":"1975"},{"key":"b2","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"349","DOI":"10.3171\/jns.1962.19.4.0349","article-title":"Prolonged headache following spinal puncture. 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Isotopic demonstration of dural leak and surgical cure.","volume":"25","author":"Gass","year":"1971"},{"key":"b8","series-title":"Anesthesiology","first-page":"565","article-title":"Treatment of postspinal headache (in Current Comment).","volume":"21","author":"Gormley","year":"1960"},{"key":"b9","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1212\/WNL.11.9.800","article-title":"Innervation of spinal dura mater and dura mater of the posterior cranial fossa.","volume":"11","author":"Kimmel","year":"1961"},{"key":"b10","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1212\/WNL.21.9.925","article-title":"Prolonged post-lumbar puncture cerebrospinal fluid leakage from lumbar subarachnoid space demonstrated by radioisotope myelography.","volume":"21","author":"Lieberman","year":"1971"},{"key":"b11","series-title":"Anesthesiology","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1097\/00000542-197409000-00021","article-title":"Epidural blood patch for post-lumbar-puncture headache.","volume":"41","author":"Ostheimer","year":"1974"},{"key":"b12","series-title":"Acta Chir Scand","first-page":"7","article-title":"Neurological complications after spinal anesthesia and results from 2,493 follow up cases.","volume":"95","author":"Thorsen","year":"1947"},{"key":"b13","series-title":"Postlumbar Puncture Headaches","first-page":"79","author":"Tourtellotte","year":"1964"},{"key":"b14","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1001\/jama.1956.02970070018005","article-title":"Long-term follow-up of patients who received 10,098 spinal anesthetics. Syndrome of decreased intracranial pressure (headache and ocular and auditory difficulties).","volume":"161","author":"Vandam","year":"1956"},{"key":"b15","series-title":"Obstet Gynecol","first-page":"734","article-title":"Anesthesia and postpartum headache.","volume":"20","author":"White","year":"1962"},{"key":"b16","series-title":"Headache and Other Head Pain","first-page":"96","author":"Wolff","year":"1963"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/57\/5\/article-p703.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/57\/5\/article-p703.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/57\/5\/article-p703.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,13]],"date-time":"2022-11-13T04:49:52Z","timestamp":1668314992000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/57\/5\/article-p703.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[1982,11]]},"references-count":16,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.1982.57.5.0703","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1982,11]]}}}