Evidence map›Paper›PMID 28838925›Full record

ArticleBMJ case reports2017

Case of steroid-responsive encephalopathy from hypoglycaemia.

Jay L Mathur, Fereshteh Rajabi, Allison Schroeder, Torben K Becker

Abstract 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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 1 country.

Jay L MathurDepartment of Internal Medicine, UPMC Mercy, Pittsburgh, Pennsylvania, USA.
Fereshteh RajabiDepartment of Internal Medicine, UPMC Mercy, Pittsburgh, Pennsylvania, USA.
Allison SchroederDepartment of Physical Medicine and Rehabilitation, UPMC Presbyterian, Pittsburgh, Pennsylvania, USA.
Torben K BeckerDepartment of Critical Care Medicine, UPMC Presbyterian, Pittsburgh, Pennsylvania, USA.
UPMC Presbyterian · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypoglycaemic encephalopathy is a feared complication in the management of patients with diabetes mellitus. We report on a 73-year-old woman with type 1 diabetes managed with an insulin pump who presented unresponsive after an inappropriate insulin bolus. The patient had minimal improvement in her neurological status over 8 days. After administration of 1 g intravenous methylprednisolone, she had dramatic neurological improvement including successful extubation and discharge from the intensive care unit. Steroid responsive encephalopathy is increasingly recognised in practice and literature. However, to the best of our knowledge, this is the first case of hypoglycaemic encephalopathy that responded to high-dose steroids.

Indexed as

Administration, IntravenousAgedBrain DiseasesDiabetes Mellitus, Type 1Diagnosis, DifferentialFatal OutcomeFemaleHumansHypoglycemiaInsulinInsulin Infusion SystemsIntensive Care UnitsMethylprednisoloneSteroidsInsulinMethylprednisoloneSteroidsdiabetesneurological injuryneurology (drugs and medicines)

Identifiers

PMID28838925
PMCPMC5623988
OpenAlexW2749887811

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.