{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T19:36:54Z","timestamp":1792265814491,"version":"4.4.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Technology and Health Care"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Epidural blood patch (EBP) is a minimally invasive and effective treatment for spontaneous intracranial hypotension (SIH). But, cervical epidural blood patch for SIH has little attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>In this study, The clinical data was recorded and the treatment efficacy and safety of cervical EBP in SIH were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>: Fifty-nine cases of intractable SIH were examined by computed tomography (CT) guided cervical EBP at the Chinese PLA General Hospital from August 2014 to March 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The mean age of the fifty-nine patients at symptom onset was 40.8 [Formula: see text] 9.5 years. 54\/59 (91.5%) patients experienced orthostatic headache. Preoperative spine T2 scans with extensive fluid collection at the upper cervical region in 43\/46 (93.5%). 45\/59 (76.3%) patients had symptomatic relief with initial cervical EBP, and 14\/59 (23.7%) patients received further cervical EBPs. In the first one to three days following the EBP procedure, 11 (18.6%) patients reported pain at the puncture site and 15 (25.4%) experienced neck pain. No other complications were observed during or after the procedure. At the latest follow-up, all patients showed good recovery. The mean follow-up was 28.9 [Formula: see text] 22.7 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>CT-guided cervical EBP is a effective and safe treatment for patients with intractable SIH, especially in patients who had extensive fluid collection at the upper cervical region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/thc-241366","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T12:32:19Z","timestamp":1726230739000},"page":"567-575","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cervical epidural blood patch treatment is a choice for spontaneous intracranial hypotension"],"prefix":"10.1177","volume":"33","author":[{"given":"Hui","family":"Su","sequence":"first","affiliation":[{"name":"Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyang","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingjie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Chinese PLA General Hospital First Medical Center, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"bibr1-THC-241366","first-page":"290","volume":"3","author":"Schaltenbrand G","year":"1938","journal-title":"Zentralbl 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