Evidence map›Paper›PMID 23955178›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2014

Torticollis as a first sign of posterior fossa and cervical spinal cord tumors in children.

Alicja Fąfara-Leś, Stanisław Kwiatkowski, Laura Maryńczak, Zdzisław Kawecki, Dariusz Adamek, Izabela Herman-Sucharska, Krzysztof Kobylarz

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

13 citing papers in PubMed, 35 citations in OpenAlex.

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  12. Cerebellum: An explanation for dystonia?Cerebellum & ataxias · 2017
    Review
  13. Torticollis in children: an alert symptom not to be turned away.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015
    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

7 authors at 2 institutions in 1 country.

Alicja Fąfara-LeśDepartment of Pediatric Neurosurgery, University Children's Hospital of Cracow, Jagiellonian University Medical College, Kraków, Poland, alicja.fafara@gmail.com.
Stanisław Kwiatkowski
Laura Maryńczak
Zdzisław Kawecki
Dariusz Adamek
Izabela Herman-Sucharska
Krzysztof Kobylarz
Jagiellonian University · PLUniwersytecki Szpital Dziecięcy · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTorticollis, despite being well-known neurological manifestation, is often underestimated as a first symptom of the abnormalities of posterior cranial cavity and cervical spinal cord.

objectivesThe purpose of this study is to analyze the occurrence of acquired torticollis in children as a herald sign of the tumors of the cervical spinal cord or of the posterior fossa.

methodsClinical records of 54 cases treated for the tumor of the cervical spinal cord or posterior fossa (including congenital ones) were retrospectively reviewed. The following data were calculated: the occurrence of the torticollis as a first sign of tumors, the duration time from the onset of the symptoms to diagnosis, the concurrence of other pathological symptoms, and the diminishing of symptoms of the torticollis following treatment.

resultsIn 12/54 (22.2 %) torticollis was first sign of central nervous system tumor and in all of them preceded other neurological symptoms. The time from the onset of torticollis to establishing diagnosis ranged from 2 to 52 weeks (9.6 weeks on average). Eleven of twelve patients were treated surgically--in 10 of them, torticollis disappeared in the postoperative course.

conclusionsTorticollis may be a herald sign of the tumor of the cervical spinal cord or the posterior fossa. Those pathologies should be considered in the differential diagnosis of the torticollis, particularly if accompanied by other symptoms of the focal pathology of central nervous system. Awareness of this fact may shorten the time to establish the proper diagnosis. Torticollis necessitates exclusion of the posterior fossa and spinal cord tumor.

Indexed as

Cerebral Ventricle NeoplasmsChildChild, PreschoolFemaleFunctional LateralityHumansInfantInfratentorial NeoplasmsMagnetic Resonance ImagingMaleNeurosurgical ProceduresSpinal Cord NeoplasmsTorticollisTreatment Outcome

Identifiers

PMID23955178
OpenAlexW1977492614

What OpenQuestion holds

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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.