Evidence map›Paper›PMID 24832705›Full record

ArticleBMJ case reports2014

Severe flaccid paraparesis following spinal anaesthesia: a sine materia occurrence.

Gentian Vyshka, Giuseppe Vacchiano

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

2 authors.

Gentian VyshkaDepartment of Biomedical and Experimental, Faculty of Medicine, Tirana, Albania.
Giuseppe VacchianoUniversity of Sannio, Benevento, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 45-year-old female patient who underwent spinal anaesthesia for a minor urological intervention, trying to correct her stress urinary incontinence. Hyperbaric bupivacaine was intrathecally injected and the surgical intervention ended uneventfully. Six hours after the operation a severe motor deficit of lower limbs was noted. The situation persisted and neurologists repeatedly checked on the patient; imaging of the lumbar spine was made but no pathological signal was registered. Somatosensory evoked potentials of the lower limbs showed bilaterally delayed latencies of the cortical components, with prolonging of interpeak latencies, suggestive of a suffering of the long somatosensory spinal tracts. Unable initially to walk or stand in erect position with almost no movements in both lower limbs, the patient was admitted in a rehabilitation facility and treated there for 4 months, with her condition substantially improving during this period.

Indexed as

Evoked Potentials, SomatosensoryAnesthesia, SpinalBupivacaineFemaleFollow-Up StudiesHumansMiddle AgedNerve RegenerationParaparesisRisk AssessmentSeverity of Illness IndexTime FactorsTreatment OutcomeUrinary Incontinence, StressUrologic Surgical ProceduresBupivacaine

Identifiers

PMID24832705
PMCPMC4024567

What OpenQuestion holds

Textmetadata
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.