Evidence map›Paper›PMID 27616749›Full record

ArticleJournal of veterinary internal medicine2016

Clinical and Diagnostic Imaging Features of Brain Herniation in Dogs and Cats.

M J Lewis, N J Olby, P J Early, C L Mariani, K R Muñana, G S Seiler, E H Griffith

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

M J LewisCollege of Veterinary Medicine, NCSU, Raleigh, NC.
N J OlbyCollege of Veterinary Medicine, NCSU, Raleigh, NC. njolby@ncsu.edu.
P J EarlyCollege of Veterinary Medicine, NCSU, Raleigh, NC.
C L MarianiCollege of Veterinary Medicine, NCSU, Raleigh, NC.
K R MuñanaCollege of Veterinary Medicine, NCSU, Raleigh, NC.
G S SeilerCollege of Veterinary Medicine, NCSU, Raleigh, NC.
E H GriffithDepartment of Statistics, NCSU, Raleigh, NC.
UNC/NCSU Joint Department of Biomedical Engineering · USNorth Carolina State University · US

Funding

Comparative Medicine and Translational Research Training ProgramT32OD011130 · OD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI Lauren Virginia Schnabel · 2012 to 2026
$7.8M
NIH HHS T32 OD011130
6 · The paper itself

Abstract

backgroundQuantification of brain herniation on MRI and its immediate clinical implications are poorly described.

objectivesDefine the normal position of caudal fossa structures on brain MRIs in dogs and cats utilizing morphometry, compare this to dogs and cats with caudal transtentorial herniation (CTH), foramen magnum herniation (FMH) or both identified on MRI, and investigate associations between herniation severity, clinical signs, and 24-hour outcome. ANIMALS: Ninety-two controls (66 dogs, 26 cats), 119 cases with herniation (88 dogs, 31 cats).

methodsRetrospective case series. The MRI database was searched for controls with normal brain anatomy and cases with brain herniation. Morphometry in controls established TTX (transtentorial to rostroventral cerebellum) to quantify CTH and FMX (caudoventral cerebellum to foramen magnum) to quantify FMH. Measurements were compared between cases and controls. Correlations with specific clinical variables and outcome were investigated.

resultsMeasurements in medium/large control dogs versus small dog and cat controls were significantly different (P < .001, TTX: -0.46, -0.305, -0.3, FMX: 0.695, 0.27, 0.25, respectively). 119/1564 (7.6%) cases that underwent brain imaging had brain herniation. TTX and FMX were significantly different between controls and cases with CTH or FMH (P < .001). 67/89 (75%) cases with supratentorial lesions had no signs directly attributable to herniation. 71/119 (60%) had a normal anesthetic recovery. TTX was significantly associated with 24-hour survival (P < .001). CONCLUSIONS AND CLINICAL IMPORTANCE: Brain herniation can be quantified on MRI. Clinical signs directly attributable to brain herniation commonly are absent, and more severe CTH based on TTX is associated with a worse short-term outcome.

Indexed as

AnimalsBody SizeBrainCat DiseasesCatsDog DiseasesDogsMagnetic Resonance ImagingRetrospective StudiesCaudal transtentorialForamen magnum herniationMagnetic resonance ImagingMorphometry

Identifiers

PMID27616749
PMCPMC5032863
OpenAlexW2520944518

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.