Evidence map›Paper›PMID 24639877›Full record

ArticleCase reports in medicine2014

Autologous bone marrow mononuclear cells in ischemic cerebrovascular accident paves way for neurorestoration: a case report.

Alok Sharma, Hemangi Sane, Anjana Nagrajan, Nandini Gokulchandran, Prerna Badhe, Amruta Paranjape, Hema Biju

Abstract read
In one paragraph

Article in Case reports in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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.

Alok SharmaDepartment of Medical Services and Clinical Research, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.
Hemangi SaneDepartment of Research and Development, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.
Anjana NagrajanDepartment of Neuro-Rehabilitation, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.
Nandini GokulchandranDepartment of Medical Services and Clinical Research, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.
Prerna BadheDepartment of Medical Services and Clinical Research, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.
Amruta ParanjapeDepartment of Neuro-Rehabilitation, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.
Hema BijuDepartment of Neuro-Rehabilitation, Neurogen, Brain and Spine Institute Private Limited, Surana Sethia Hospital and Research Centre, Suman Nagar, Sion Trombay Road, Chembur, Mumbai, Maharashtra 400071, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to acute ischemic stroke, large numbers of bone marrow stem cells mobilize spontaneously in peripheral blood that home onto the site of ischemia activating the penumbra. But with chronicity, the numbers of mobilized cells decrease, reducing the degree and rate of recovery. Cellular therapy has been explored as a new avenue to restore the repair process in the chronic stage. A 67-year-old Indian male with a chronic right middle cerebral artery ischemic stroke had residual left hemiparesis despite standard management. Recovery was slow and partial resulting in dependence to carry out activities of daily living. Our aim was to enhance the speed of recovery process by providing an increased number of stem cells to the site of injury. We administered autologous bone marrow mononuclear cells intrathecally alongwith rehabilitation and regular follow up. The striking fact was that the hand functions, which are the most challenging deficits, showed significant recovery. Functional Independence Measure scores and quality of life improved. This could be attributed to the neural tissue restoration. We hypothesize that cell therapy may be safe, novel and appealing treatment for chronic ischemic stroke. Further controlled trials are indicated to advance the concept of Neurorestoration.

Identifiers

PMID24639877
PMCPMC3930134

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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.