Evidence map›Paper›PMID 29753572›Full record

Observational studyPediatric neurology2018

Clinical and Prognostic Significance of Cerebrospinal Fluid Opening and Closing Pressures in Pediatric Pseudotumor Cerebri Syndrome.

Shannon J Beres, Claire A Sheldon, Chantal J Boisvert, Christina L Szperka, Grace L Paley, Evanette K Burrows, Marianne R Chilutti, Geraldine W Liu, Shana E McCormack, Grant T Liu

Abstract readObservational Study
In one paragraph

Observational study in Pediatric neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Clinical and prognostic importance of craniospinal elastance and pressure volume index in pediatric pseudotumor cerebri syndrome.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Observational
  3. Article
  4. Pseudotumor Cerebri Syndrome in Children.Current pain and headache reports · 2019
    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

10 authors.

Shannon J BeresDepartments of Neurology and Ophthalmology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Division of Ophthalmology, Neuro-ophthalmology Service, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: sberes@stanford.edu.
Claire A SheldonDivision of Ophthalmology, Neuro-ophthalmology Service, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Chantal J BoisvertDivision of Ophthalmology, Rady Children's Hospital San Diego, San Diego, California; Department of Ophthalmology, Gavin Herbert Eye Institute, University of California Irvine, Irvine, California.
Christina L SzperkaDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Grace L PaleyDepartments of Neurology and Ophthalmology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Evanette K BurrowsCenter for Biomedical Informatics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Marianne R ChiluttiCenter for Biomedical Informatics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Geraldine W LiuDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Shana E McCormackPerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Grant T LiuDepartments of Neurology and Ophthalmology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Division of Ophthalmology, Neuro-ophthalmology Service, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

Career Development Program in Pediatric Diabetes Research (K12) at CHOPK12DK094723 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI WILLI, STEVEN M · 2011 to 2020
$3.6M
NIDDK NIH HHS K12 DK094723
6 · The paper itself

Abstract

backgroundThe purpose of this study was to determine the prognostic utility of closing pressure and volume of cerebrospinal fluid removed with respect to papilledema resolution and headache improvement in pediatric pseudotumor cerebri syndrome.

methodsThis is a retrospective observational study of 93 children with definite pseudotumor cerebri syndrome. The primary outcome measure was time to resolution of papilledema, and the secondary outcome measure was time to resolution of headache.

resultsThere were no significant differences in gender, age, or body mass index z score observed between subjects with (N = 35) and without (N = 58) documented closing pressure. The median time to resolution of papilledema was not statistically different between children above or equal to and those below the median closing pressure (170 mm of cerebrospinal fluid, n = 31, P = 0.391) or the volume of median cerebrospinal fluid removed (16 mL, n = 19, P = 0.155). There was no statistically significant difference detected in days of headache between the children with opening pressure above and equal to the median (400 mm of cerebrospinal fluid) and the children with opening pressure below the median (n = 44, P = 0.634).

conclusionsNo significant association between closing pressure, amount of cerebrospinal fluid removed, and time to resolution of papilledema due to pseudotumor cerebri syndrome was detected. The diagnostic and therapeutic purposes of either measuring the closing pressure or maximizing the volume of cerebrospinal fluid removed were not evident in these analyses.

Indexed as

Cerebrospinal Fluid PressureHeadacheOutcome Assessment, Health CarePapilledemaPseudotumor CerebriAdolescentChildChild, PreschoolFemaleHumansMaleNeurosurgical ProceduresPrognosisRetrospective StudiesTime FactorsChildrenClosing pressureHeadacheIdiopathic intracranial hypertensionOpening pressurePapilledemaPseudotumor cerebri

Identifiers

PMID29753572
PMCPMC7780087

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.