Evidence map›Paper›PMID 27818870›Full record

ArticleSpringerPlus2016

Spontaneous chronic epidural hematoma in the lumbar spine associated with Warfarin intake: a case report.

Axel Sandvig, Håkan Jonsson

Open access · diamondAbstract read
In one paragraph

Article in SpringerPlus, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Warfarin-related epidural hematoma: a case report.The Journal of international medical research · 2022
    Article
  3. Article
  4. Article
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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

2 authors at 2 institutions in 2 countries.

Axel SandvigDivision of Neurosurgery and Clinical Neurophysiology, Department of Pharmacology and Clinical Neurosciences, Umeå University Hospital, Umeå, Sweden ; Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway.
Håkan JonssonSpinal Unit, Department of Ortopedics, Umeå University Hospital, Umeå, Sweden ; Spinal Unit, Department of Ortopedics, Uppsala University Hospital, Uppsala, Sweden.
Norwegian University of Science and Technology · NOUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpontaneous spinal epidural hematomas are rare. However, in patients on anticoagulant treatment the risk may increase. Symptomatically patients may present with radiculopathy and even progressive neurological deficits. CASE DESCRIPTION: We present a case of a warfarin treated patient with left L5 radiculopathy. MRI was evaluated as showing a lumbar disc prolapse or synovial cyst at L4-L5 level. The patient was operated and an organized material was removed and analysed as a hematoma. No prolapsed disc or synovial cyst was found. The patient was neurologically restored following the operation. DISCUSSION AND EVALUATION: This case illustrates how spontaneous epidural spinal hematomas can present with symptoms of radiculopathy and radiologically be misinterpreted as a protruding disc or cyst.

conclusionWarfarin treated patients may have an increased risk of spontaneous spinal epidural hematomas.

Indexed as

Anticoagulant treatmentL5-root compressionMRIRadiculating pain

Identifiers

PMID27818870
PMCPMC5074940
OpenAlexW2536369744

What OpenQuestion holds

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LicenceCC BY
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.