Evidence map›Paper›PMID 28768486›Full record

ArticleBMC neurology2017

Lumbar puncture as possible cause of sudden paradoxical herniation in patient with previous decompressive craniectomy: report of two cases.

Liang Shen, Sheng Qiu, Zhongzhou Su, Xudong Ma, Renfu Yan

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC neurology, 2017. 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
0.2field-weighted citation impact, top 44% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

5 authors at 1 institution in 1 country.

Liang ShenDepartment of Neurosurgery, Huzhou Central Hospital, 198 Hongqi Road, Huzhou, Zhejiang, 313000, China.
Sheng QiuDepartment of Neurosurgery, Huzhou Central Hospital, 198 Hongqi Road, Huzhou, Zhejiang, 313000, China.
Zhongzhou SuDepartment of Neurosurgery, Huzhou Central Hospital, 198 Hongqi Road, Huzhou, Zhejiang, 313000, China.
Xudong MaDepartment of Neurosurgery, Huzhou Central Hospital, 198 Hongqi Road, Huzhou, Zhejiang, 313000, China.
Renfu YanDepartment of Neurosurgery, Huzhou Central Hospital, 198 Hongqi Road, Huzhou, Zhejiang, 313000, China. yanrenfu62@163.com.
Huzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLumbar puncture is often used for the diagnosis and treatment of subarchnoid hemorrhage, infection of Cerebro-spinal Fluid (CSF), hydrocephalus in neurosurgery department patients. It is general that paradoxical herniation followed by lumbar puncture is quite rare in decompressive craniectomy cases; the related reports are very few. Moreover, most of the paradoxical herniation cases are chronic, which often occur weeks or even months after the lumbar puncture, to date, barely no reports on the acute onset paradoxical herniation have been found. CASE PRESENTATION: Two traumatic brain injury patients with decompressive craniectomy (DC) and hydrocephalus suffered from a sudden paradoxical herniation after lumbar puncture. The symptoms of herniation were improved by treated with Trendelenburg position and rapid intravenous infusion.

conclusionsLumbar puncture may have a potential risk of inducing sudden paradoxical herniation in patients with DC. CSF drainage during lumbar puncture should be in small volume for patients with DC. Once a paradoxical herniation occurs after lumbar puncture, an immediate Trendelenburg position and rapid intravenous infusion treatment may be effective.

Indexed as

Decompressive CraniectomyPostoperative ComplicationsAdultBrainBrain Injuries, TraumaticHumansHydrocephalusMaleMiddle AgedSpinal PunctureCase reportDecompressive craniectomyHerniationLumbar puncture

Identifiers

PMID28768486
PMCPMC5541649
OpenAlexW2741826446

What OpenQuestion holds

Textmetadata
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.