Evidence map›Paper›PMID 28174188›Full record

ArticleBMJ case reports2017

Cervical spine arteriovenous fistula associated with hereditary haemorrhagic telangiectasia.

Iain John McGurgan, Roisin Lonergan, Ronan Killeen, Christopher McGuigan

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  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

4 authors at 1 institution in 2 countries.

Iain John McGurganDepartment of Neurology, St Vincent's University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0001-8457-1748
Roisin LonerganDepartment of Neurology, St Vincent's University Hospital, Dublin, Ireland.
Ronan KilleenDepartment of Radiology, St Vincent's University Hospital, Dublin, Ireland.
Christopher McGuiganDepartment of Neurology, St Vincent's University Hospital, Dublin, Ireland.
St. Vincent's University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reported is a case of a man aged 55 years who presented with progressive spastic paraparesis. Examination demonstrated multiple cutaneous telangiectases. Subsequent development of upper limb weakness, acute urinary retention and eventual respiratory compromise resulted in the requirement for intensive care unit admission and mechanical ventilation. MRI spine revealed diffuse T2 hyperintensity in the cervical cord with enhancement and cord expansion. Immunomodulatory therapy for a presumed diagnosis of transverse myelitis yielded no response, so a vascular aetiology was suspected. Spinal angiography demonstrated an arteriovenous fistula involving the upper cervical cord. Endovascular embolisation was successfully performed and a marked clinical improvement was achieved. Cervical arteriovenous fistulas can cause progressive myelopathy, subarachnoid haemorrhage and brainstem dysfunction. Management typically comprises endovascular embolisation or surgical interruption. A clinical diagnosis of hereditary haemorrhagic telangiectasia was also made in this case, and spinal arteriovenous fistula formation has been associated with this condition.

Indexed as

Cervical VertebraeAngiographyArteriovenous FistulaCentral Nervous System Vascular MalformationsDiagnosis, DifferentialEmbolization, TherapeuticHumansIntensive Care UnitsMaleMiddle AgedParaparesis, SpasticRespiration, ArtificialRespiratory InsufficiencySpinal CordTelangiectasia, Hereditary HemorrhagicTreatment Outcome

Identifiers

PMID28174188
PMCPMC5307285
OpenAlexW2587455808

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.