Evidence map›Paper›PMID 29915646›Full record

ArticleJournal of community hospital internal medicine perspectives2018

Spinal gout causing reversible quadriparesis: a case report and literature review.

Jaspreet Kaler, Osama Mukhtar, Mazin Khalid, Shivani Thapa, Ravinder Kaler, Brandon Ting, Vijay Gayam

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 3 institutions in 2 countries.

Jaspreet KalerDepartment of Medicine, Interfaith Medical Center, Brooklyn, USA.ORCID 0000-0002-3157-5689
Osama MukhtarDepartment of Medicine, Interfaith Medical Center, Brooklyn, USA.ORCID 0000-0002-0801-5253
Mazin KhalidDepartment of Medicine, Interfaith Medical Center, Brooklyn, USA.ORCID 0000-0003-4868-4299
Shivani ThapaDepartment of Medicine, Interfaith Medical Center, Brooklyn, USA.ORCID 0000-0003-3950-3003
Ravinder KalerCaribbean Medical University, Curacao, Curacao.ORCID 0000-0002-7674-1302
Brandon TingAvalon University School of Medicine, Curacao, Curacao.ORCID 0000-0002-0090-5649
Vijay GayamDepartment of Medicine, Interfaith Medical Center, Brooklyn, USA.ORCID 0000-0001-5194-9134
Interfaith Medical Center · USAvalon University School of Medicine · CWCaribbean Research and Management of Biodiversity Foundation · CW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gout commonly affects peripheral joints and is rarely found in axial joints, such as the spine and sacroiliac joints. We report a case of a patient that presented with quadriparesis who was empirically treated for spinal gout and a review of relevant literature. A 77-year-old male presented with new-onset quadriparesis that developed over 3 days. MRI imaging was suggestive of tophaceous gout of the cervical spine, but our patient refused a spinal biopsy. He was empirically treated with high-dose steroids and his upper and lower extremities weakness started improving within 3 days and resolved completely. Although spinal gout is uncommon, this case indirectly suggests that gout should be kept as a differential diagnosis when faced with back pain or quadriparesis. This case implies that empiric treatment should be considered when radiographic evidence is suggestive of tophaceous gout of the spine.

Indexed as

back painquadriparesisSpinal gouttophiuric acid

Identifiers

PMID29915646
PMCPMC5998288
OpenAlexW2808136827

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.