Research ArticleORIGINAL RESEARCH
Outcomes of CT-Guided Targeted Epidural Patching For Lateral Dural Tears In Spontaneous Intracranial Hypotension: A Multicenter Retrospective Cohort Study
Andrew L. Callen, Daniel Montes, Debayan Bhaumik, Peter Lennarson, Mark D. Mamlouk, Niklas Lützen, Jürgen Beck, Horst Urbach, Daniel Scoffings, David Butteriss and Lalani Carlton Jones
American Journal of Neuroradiology June 2025, ajnr.A8886; DOI: https://doi.org/10.3174/ajnr.A8886
Andrew L. Callen
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Daniel Montes
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Debayan Bhaumik
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Peter Lennarson
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Mark D. Mamlouk
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Niklas Lützen
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Jürgen Beck
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Horst Urbach
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Daniel Scoffings
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
David Butteriss
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.
Lalani Carlton Jones
From the Department of Radiology (A.L.C., D.M., D.B.), Department of Neurology (A.L.C), Department of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, CO, USA, the Department of Radiology (M.D.M.) Kaiser Permanente Santa Clara, Santa Clara, CA, USA, the Department of Radiology and Biomedical Imaging (M.D.M.) University of California San Francisco, San Francisco, CA, USA. Department of Neuroradiology (N.L.), Department of Neurosurgery (J.B.) University of Freiburg, Freiburg, Germany. Department of Radiology (D.S.) Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, Department of Neuroradiology (D.B.) Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England, Department of Radiology (L.C.), Guys & St. Thomas’s and Kings College Hospitals NHS Foundation Trusts, London, England, Institute of Psychiatry, Psychology and Neuroscience (L.C.), Kings College London, London, England.

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Accepted Manuscript
Andrew L. Callen, Daniel Montes, Debayan Bhaumik, Peter Lennarson, Mark D. Mamlouk, Niklas Lützen, Jürgen Beck, Horst Urbach, Daniel Scoffings, David Butteriss, Lalani Carlton Jones
Outcomes of CT-Guided Targeted Epidural Patching For Lateral Dural Tears In Spontaneous Intracranial Hypotension: A Multicenter Retrospective Cohort Study
American Journal of Neuroradiology Jun 2025, ajnr.A8886; DOI: 10.3174/ajnr.A8886
Accepted Manuscript
Outcomes of CT-Guided Targeted Epidural Patching For Lateral Dural Tears In Spontaneous Intracranial Hypotension: A Multicenter Retrospective Cohort Study
Andrew L. Callen, Daniel Montes, Debayan Bhaumik, Peter Lennarson, Mark D. Mamlouk, Niklas Lützen, Jürgen Beck, Horst Urbach, Daniel Scoffings, David Butteriss, Lalani Carlton Jones
American Journal of Neuroradiology Jun 2025, ajnr.A8886; DOI: 10.3174/ajnr.A8886
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