Evidence map›Paper›PMID 30276501›Full record

ArticlePituitary2018

Single center study of 53 consecutive patients with pituitary stalk lesions.

Mirjana Doknic, Dragana Miljic, Sandra Pekic, Marko Stojanovic, Dragan Savic, Emilija Manojlovic-Gacic, Tatjana Milenkovic, Vera Zdravkovic, Maja Jesic, Dusan Damjanovic and 4 more

Abstract read
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In one paragraph

Article in Pituitary, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

14 authors at 5 institutions in 1 country.

Mirjana DoknicNeuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia. mirjanadoknic@gmail.com.
Dragana MiljicNeuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
Sandra PekicNeuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
Marko StojanovicNeuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
Dragan SavicClinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia.
Emilija Manojlovic-GacicInstitute of Pathology, School of Medicine, University of Belgrade, Belgrade, Serbia.
Tatjana MilenkovicMother and Child Health Care Institute of Serbia "Dr Vukan Cupic", Belgrade, Serbia.
Vera ZdravkovicUniversity Children's Clinic, Belgrade, Serbia.
Maja JesicUniversity Children's Clinic, Belgrade, Serbia.
Dusan DamjanovicCenter for Radiology Imaging - Magnetic Resonance and Gamma Knife, Clinical Center of Serbia, Belgrade, Serbia.
Slobodan LavrnicCenter for Radiology Imaging - Magnetic Resonance and Gamma Knife, Clinical Center of Serbia, Belgrade, Serbia.
Ivan SoldatovicInstitute of Medical Statistics and Informatics, Belgrade, Serbia.
Aleksandar DjukicCenter for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Kragujevac, Kragujevac, Serbia.
Milan PetakovNeuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
University of Belgrade · RSCentar za Promociju Nauke · RSCenter for Health, Exercise and Sport Sciences · RSClinical Centre of Kragujevac · RSInstitute of Public Health of Serbia · RS

Funding

The Ministry of Science of Republic of Serbia 175033
6 · The paper itself

Abstract

backgroundThe etiological spectrum of pituitary stalk lesions (PSL) is wide and yet specific compared to the other diseases of the sellar and suprasellar region. Because of the pituitary stalk's (PS) critical location and role, biopsies of these lesions are rarely performed, and their underlying pathology is often a conundrum for clinicians. A pituitary MRI in association with a clinical context can facilitate their diagnosis.

aimTo present the various causes of PSL-their clinical, hormonal, histopathological, and MRI characteristics in order to gain better insight into this pathology.

methodA retrospective observational study consisting of 53 consecutive patients with PSL of the mean age 32 ± 4.2 years (range 6-67), conducted at the Department for Neuroendocrinology, Clinical Center of Serbia 2010-2018.

resultsCongenital malformations were the most common cause of PSL in 25 of 53 patients (47.1%), followed by inflammatory (9/53; 16.9%) and neoplastic lesions (9/53; 16.9%). The exact cause of PSL was established in 31 (58.4%) patients, of whom 23 were with congenital PS abnormalities and 8 with histopathology of PSL (7 neoplastic and 1 Langerhans Cell Hystiocytosis). A probable diagnosis of PSL was stated in 12 patients (22.6%): 6 with lymphocytic panhypophysitis, while Rathke cleft cyst, tuberculosis, dissemination of malignancy in PS were each diagnosed in 2 patients. In 10 patients (18.8%), the etiology of PSL remained unknown.

conclusionDue to the inability of establishing an exact diagnosis, the management and prognosis of PSL are difficult in many patients. By presenting a wide array of causes implicated in this condition, we believe that our study can aid clinicians in the challenging cases of this pathology.

Indexed as

AdolescentAdultAgedChildFemaleHumansHypopituitarismLung NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedPituitary DiseasesPituitary GlandPituitary NeoplasmsRetrospective StudiesYoung AdultHypopituitarismInfundibulumPituitary stalk interruption syndromePituitary stalk lesion

Identifiers

PMID30276501
OpenAlexW2894986862

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.