Evidence map›Paper›PMID 24575323›Full record

ArticleSurgical neurology international2014

Noninvasive diagnosis and management of spontaneous intracranial hypotension in patients with marfan syndrome: Case Report and Review of the Literature.

Luigi Bassani, Christopher S Graffeo, Navid Behrooz, Vineet Tyagi, Taylor Wilson, Saul Penaranda, David Zagzag, Daniel B Rifkin, Mary Helen Barcellos-Hoff, Girish Fatterpekar and 1 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 27 citations in OpenAlex.

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  6. Clinical management of dural defects: A review.World journal of clinical cases · 2023
    Review
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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

11 authors at 3 institutions in 1 country.

Luigi BassaniDepartment of Neurosurgery, University of Utah School of Medicine, USA.
Christopher S GraffeoDepartment of Neurosurgery, New York University School of Medicine, New York, USA.
Navid BehroozDepartment of Emergency Medicine, New York-Presbyterian Hospital, New York, USA.
Vineet TyagiDepartment of Neurosurgery, New York University School of Medicine, New York, USA.
Taylor WilsonDepartment of Neurosurgery, New York University School of Medicine, New York, USA.
Saul PenarandaDepartment of Neurosurgery, New York University School of Medicine, New York, USA.
David ZagzagDepartment of Pathology, New York University School of Medicine, New York, USA.
Daniel B RifkinDepartment of Cell Biology, New York University School of Medicine, New York, USA.
Mary Helen Barcellos-HoffDepartment of Cell Biology, New York University School of Medicine, New York, USA ; Department of Radiation Oncology, New York University School of Medicine, New York, USA.
Girish FatterpekarDepartment of Radiology, New York University School of Medicine, New York, USA.
Dimitris PlacantonakisDepartment of Neurosurgery, New York University School of Medicine, New York, USA.
New York University · USNewYork–Presbyterian Hospital · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous intracranial hypotension is an uncommon clinical entity. Heritable connective tissue disorders (HCTD), such as Marfan syndrome, are frequently implicated as an underlying cause, due to dural structural weaknesses that predispose patients to spontaneous cerebrospinal fluid (CSF) leak. Due to the high prevalence of multi-system disease in HCTD, diagnosis and treatment are often complicated. CASE DESCRIPTION: We present a 58-year-old female with Marfan syndrome on anticoagulation for a mechanical aortic valve replacement who came to medical attention with severe, acute-onset headache following a straining episode. Noninvasive magnetic resonance (MR) myelography confirmed thoracic CSF extravasations and multiple lumbar diverticula. The patient was treated conservatively and her symptoms resolved.

conclusionWe discuss the common presentation, diagnostic tools, and treatment options for spontaneous CSF leaks in patients with Marfan syndrome or related HCTD with an emphasis on noninvasive modalities and a review of the major radiographic criteria used to diagnose dural abnormalities, such as dural ectasia.

Indexed as

Magnetic resonance myelographyMarfan syndromespontaneous intracranial hypotension

Identifiers

PMID24575323
PMCPMC3927088
OpenAlexW2143219293

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.