Evidence map›Paper›PMID 42460191›Full record

ArticleCureus2026

Intracranial Hypotension After Surgery for Idiopathic Scoliosis Managed Conservatively: A Case Report and Literature Review.

Masahiro Fukuda, Satoshi Suzuki, Kazuki Takeda, Kota Watanabe, Masaya Nakamura

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Masahiro FukudaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JPN.
Satoshi SuzukiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JPN.
Kazuki TakedaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JPN.
Kota WatanabeDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JPN.
Masaya NakamuraDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intracranial hypotension (IH) following scoliosis surgery is a rare complication, most commonly associated with dural injury or pedicle screw malposition, often requiring revision surgery. We present a case of postoperative IH after surgery for scoliosis that was successfully managed with conservative treatment alone. A 19-year-old female with idiopathic scoliosis underwent posterior spinal fusion from T2 to L1. The surgery was completed without intraoperative complications, including motor-evoked potential deterioration or dural injury. On postoperative day 3, she developed severe orthostatic headache accompanied by nausea and tinnitus. Cranial and spinal magnetic resonance imaging revealed diffuse dural thickening, pituitary enlargement, and epidural fluid collection consistent with IH. Computed tomography showed no definite malposition of pedicle screws. The patient was successfully treated with bed rest and hydration for one week without recurrence. This case highlights that revision surgery is not always necessary for IH following scoliosis surgery, especially in cases of minor medial pedicle screw breach or unrecognized dural tear.

Indexed as

conservative managementidiopathic scoliosislate presentation of dural tearpostoperative cerebrospinal fluid leaksecondary intracranial hypotension

Identifiers

PMID42460191
PMCPMC13372483

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Registered trials

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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.