Evidence map›Paper›PMID 40092022›Full record

ArticleCureus2025

Successful Treatment of Spontaneous Intracranial Hypotension With Subdural Hematoma With Cervical Epidural Blood Patch: A Case Report.

Chun Peng Goh, Shi Yu Gu, Yi Xiu Chua, Ira Sun, Shiong Wen Low

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chun Peng GohNeurosurgery, National University Health System, Singapore, SGP.
Shi Yu GuNeurosurgery, Ng Teng Fong General Hospital, Singapore, SGP.
Yi Xiu ChuaRadiology, Ng Teng Fong General Hospital, Singapore, SGP.
Ira SunNational University Health Services Group, Ng Teng Fong General Hospital, Singapore, SGP.
Shiong Wen LowNeurosurgery, Ng Teng Fong General Hospital, Singapore, SGP.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache. In severe cases, SIH can be complicated by symptomatic subdural hematoma. There is a lack of consistency and established treatment guidelines for the management of SIH. Lumbar epidural patch is the recommended first-line invasive treatment after failing conservative management. We present the case of a 42-year-old man with SIH complicated by symptomatic left subdural hematoma, which was successfully treated with surgical drainages and targeted cervical epidural blood patch. The primary aim of management of SIH is to stop cerebrospinal fluid leakage, and if the necessary specialty is available, targeted cervical epidural blood patch may be proposed as first-line invasive treatment. Symptomatic subdural hematoma should be managed with prompt action such as surgical drainage or middle meningeal artery embolization.

Indexed as

epidural blood patchorthostatic headachesspontaneous cerebrospinal fluid leakspontaneous intracranial hypotension (sih)subdural hematomas

Identifiers

PMID40092022
PMCPMC11908407

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.