{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:17:40Z","timestamp":1787761060154,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Spontaneous intracranial hypotension caused by cerebrospinal fluid (CSF) leak is a rarely encountered cause of persistent postural headaches in the absence of trauma or dural puncture. It presents with postural headache and is characterized by radiological findings of spinal CSF leak. The mainstay of management is an epidural patch with the patient's own blood (epidural blood patch [EBP]) and\/or a fibrin glue product. We report here a case of spontaneous intracranial hemorrhage presenting with persistent headaches and bilateral subdural hematomas secondary to CSF leaks at multiple levels along the spinal cord, which was successfully managed with a single lumbar EBP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aer.aer_131_22","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T10:21:30Z","timestamp":1670581290000},"page":"416-418","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks"],"prefix":"10.4103","volume":"16","author":[{"given":"Amlan","family":"Swain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seelora","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjul","family":"Tripathi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-25-20240901","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.ncl.2013.11.002","article-title":"Spontaneous CSF leaks: Low CSF volume syndromes","volume":"32","author":"Mokri","year":"2014","journal-title":"Neurol Clin"},{"key":"R2-25-20240901","doi-asserted-by":"crossref","first-page":"8","DOI":"10.2214\/AJR.15.14884","article-title":"Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension","volume":"206","author":"Kranz","year":"2016","journal-title":"AJR Am J Roentgenol"},{"key":"R3-25-20240901","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1001\/jama.295.19.2286","article-title":"Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension","volume":"295","author":"Schievink","year":"2006","journal-title":"JAMA"},{"key":"R4-25-20240901","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.wneu.2017.01.123","article-title":"Spontaneous intracranial hypotension: A review and introduction of an algorithm for management","volume":"101","author":"Davidson","year":"2017","journal-title":"World Neurosurg"},{"key":"R5-25-20240901","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1136\/neurintsurg-2015-011778.rep","article-title":"Targeted epidural patch with n-butyl cyanoacrylate (n-BCA) through a single catheter access site for treatment of a cerebral spinal fluid leak causing spontaneous intracranial hypotension","volume":"8","author":"Woolen","year":"2016","journal-title":"J Neurointerv Surg"},{"key":"R6-25-20240901","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1212\/WNL.57.10.1921","article-title":"The efficacy of epidural blood patch in spontaneous CSF leaks","volume":"57","author":"Sencakova","year":"2001","journal-title":"Neurology"},{"key":"R7-25-20240901","article-title":"Surgical anatomy of dural defects in spontaneous spinal cerebrospinal fluid leaks","volume":"58","author":"Cohen-Gadol","year":"2006","journal-title":"Neurosurgery"},{"key":"R9-25-20240901","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1093\/brain\/aww328","article-title":"Factors predicting response to the first epidural blood patch in spontaneous intracranial hypotension","volume":"140","author":"Wu","year":"2017","journal-title":"Brain"},{"key":"R10-25-20240901","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1111\/j.1468-1331.2009.02913.x","article-title":"Epidural blood patch in Trendelenburg position pre-medicated with acetazolamide to treat spontaneous intracranial hypotension","volume":"17","author":"Ferrante","year":"2010","journal-title":"Eur J Neurol"}],"container-title":["Anesthesia Essays &amp; Researches"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aer.aer_131_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:17:42Z","timestamp":1787757462000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aer.aer_131_22"}},"subtitle":["How it Works"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aer.aer_131_22","relation":{},"ISSN":["0259-1162"],"issn-type":[{"value":"0259-1162","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}