Evidence map›Paper›PMID 28870548›Full record

ArticleJournal of the neurological sciences2017

Corticosteroid therapy and severity of vasogenic edema in posterior reversible encephalopathy syndrome.

Neal S Parikh, Andrew D Schweitzer, Robert J Young, Ashley E Giambrone, John Lyo, Sasan Karimi, Anna Knobel, Ajay Gupta, Babak B Navi

Abstract readMulticenter Study
In one paragraph

Article in Journal of the neurological sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Posterior reversible encephalopathy syndrome (PRES) and infection: a systematic review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Preeclampsia and Cerebrovascular Disease.Hypertension (Dallas, Tex. : 1979) · 2019
    Review
  12. Maternal Stroke: an Update.Current atherosclerosis reports · 2019
    Review
  13. Article
  14. Article
  15. New Developments in Hypertensive Encephalopathy.Current hypertension reports · 2018
    Review
  16. 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

9 authors.

Neal S ParikhDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA. Electronic address: nsp2001@nyp.org.
Andrew D SchweitzerDepartment of Radiology, Weill Cornell Medical College, New York, NY, USA.
Robert J YoungDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ashley E GiambroneDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, USA.
John LyoDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sasan KarimiDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anna KnobelDepartment of Radiology, Lenox Hill Hospital, New York, USA.
Ajay GuptaDepartment of Radiology, Weill Cornell Medical College, New York, NY, USA; Feil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY, USA.
Babak B NaviDepartment of Neurology, Weill Cornell Medical College, New York, NY, USA; Feil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NEUROEPIDEMIOLOGY TRAINING PROGRAMT32NS007153 · NINDS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI GU, YIAN, WILLEY, JOSHUA ZEBADIAH · 1987 to 2023
$6.2M
Cancer And Risk Of Ischemic StrokeK23NS091395 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI NAVI, BABAK BENJAMIN · 2015 to 2019
$945k
NCATS NIH HHS UL1 TR000457NCI NIH HHS P30 CA008748NINDS NIH HHS K23 NS091395NINDS NIH HHS T32 NS007153
6 · The paper itself

Abstract

backgroundPosterior reversible encephalopathy syndrome (PRES) is a variable cerebrovascular syndrome associated with hypertension and autoregulatory failure. Steroids have been reported to both precipitate and treat PRES. We sought to determine the prevalence of steroid therapy at the time of PRES and to assess the relationship between steroid therapy and extent of vasogenic edema.

methodsWe performed a retrospective review of radiology reports between 2008 and 2014 from two academic medical centers to identify cases of PRES. Clinical and radiographic data were collected. Descriptive statistics were used to determine the prevalence of corticosteroid therapy at the time of PRES onset and the latency from steroid initiation to PRES onset. The association between steroid therapy and extent of vasogenic edema was assessed in multiple regression models.

resultsWe identified 99 cases of PRES in 96 patients. The median age was 55years (IQR 30-65) and 74% were women. Steroid therapy at time of PRES onset was identified in 44 of 99 cases. Excluding patients on chronic therapy, the median duration of steroid exposure before PRES onset was 6 (IQR, 3-10) days. Steroid therapy was not associated with extent of vasogenic edema in unadjusted or linear and logistic regression models adjusted for age, sex, and maximum systolic blood pressure on day of onset.

conclusionCorticosteroid therapy, often of brief duration, frequently preceded the onset of PRES and was not associated with severity of vasogenic edema.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedBrain EdemaFemaleHumansLinear ModelsLogistic ModelsMaleMethylprednisoloneMiddle AgedPosterior Leukoencephalopathy SyndromePrevalenceRetrospective StudiesRisk FactorsAdrenal Cortex HormonesMethylprednisoloneCorticosteroidsHypertensionPosterior reversible encephalopathy syndromeVasogenic edema

Identifiers

PMID28870548
PMCPMC5663311

What OpenQuestion holds

Textmetadata
LicenceTDM
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.