{
  "abstract": "Spontaneous Intracranial Hypotension (SIH) is a rare but treatable cause of orthostatic headache due to spontaneous leakage of Cerebrospinal Fluid (CSF). A 48-year-old male presented with orthostatic headache with bilateral subdural haematomas. The patient was found to have bilateral subdural haematomas with mass effect on Brain Magnetic Resonance Imaging (MRI), and a cervical dural tear with active CSF leakage on contrast-enhanced MR myelography, suggestive of SIH. The late diagnosis was complicated by progressive mass effect and infarcts involving the bilateral posterior cerebral arteries. A delayed Epidural Blood Patch (EBP) had favourable clinical and radiological outcomes. Early diagnosis and prompt EBP were needed to avoid neurological sequelae.",
  "abstract_shown": true,
  "affiliations": [
    "Associate Professor, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.",
    "First Year Resident, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.",
    "Professor and Head, Department of Neurology, American International Institute of Medical Sciences (AIIMS Udr), Udaipur, Rajasthan, India.",
    "Professor and Head, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Virendra Kumar Meena"
    },
    {
      "affs": [
        1
      ],
      "name": "Sakshi Singhal"
    },
    {
      "affs": [
        2
      ],
      "name": "Renu Khamesra"
    },
    {
      "affs": [
        3
      ],
      "name": "Ravinder Kumar Kundu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/78r9ec1mwkwgn.bib",
  "cited_by": 0,
  "doi": "10.7860/jcdr/2026/88075.24686",
  "fulltext_url": "https://jcdr.net/articles/PDF/24686/88075_CE[Ra1]_F(KR)_PF1(SJ_NK)redo_PFA(SS)_PB(SJ_IS)_PN(SS).pdf",
  "id": "78r9ec1mwkwgn",
  "issns": [
    "2249-782X",
    "0973-709X"
  ],
  "landing_url": "https://doi.org/10.7860/jcdr/2026/88075.24686",
  "language": "en",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2728|Neurosurgical Procedures and Complications"
    ]
  ],
  "openalex": "W7223455260",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-30",
  "publisher": "JCDR Research and Publications Private Limited",
  "ris": "https://research.draconitic.com/paper/78r9ec1mwkwgn.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:41Z",
      "native_id": "d053f9da310e456a800232ed89423ed7",
      "source": "doaj",
      "url": "https://doi.org/10.7860/jcdr/2026/88075.24686"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2728|Neurosurgical Procedures and Complications",
      "subfield": "neurology"
    }
  ],
  "title": "Spontaneous Intracranial Hypotension with Bilateral Subdural Haematomas and Posterior Cerebral Artery Infarcts with Delayed Epidural Blood Patch Response: A Case Report",
  "title_text": "Spontaneous Intracranial Hypotension with Bilateral Subdural Haematomas and Posterior Cerebral Artery Infarcts with Delayed Epidural Blood Patch Response: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:44:41Z",
  "url": "https://research.draconitic.com/paper/78r9ec1mwkwgn",
  "venue": "Journal of Clinical and Diagnostic Research",
  "versions": []
}