Evidence map›Paper›PMID 30956592›Full record

ArticleProceedings (Baylor University. Medical Center)2019

Rhombencephalitis in cocaine-induced nasal septal perforation and skull base erosion.

Shuo Li, Gunjan Garg, Bobby Goyal, Ahmed Abdelbaki, Rahul Hegde, Anil Kumar, Mark Rosovsky

Abstract readCase Reports
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 44% 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, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Management of cocaine-induced midline lesion (CIMDL) extended to skull base: a case report and systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  2. Pooled it
  3. 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

7 authors at 3 institutions in 1 country.

Shuo LiDepartment of Interventional Radiology, University of Miami/Jackson Memorial HospitalMiamiFlorida.ORCID 0000-0003-0511-8545
Gunjan GargDepartment of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.
Bobby GoyalDepartment of Physiology and Neuroscience, St. George's University School of MedicineGreat RiverNew York.ORCID 0000-0001-9920-9514
Ahmed AbdelbakiDepartment of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.
Rahul HegdeDepartment of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.
Anil KumarDepartment of Neurology, Great Plains HealthNorth PlatteNebraska.ORCID 0000-0002-3333-8345
Mark RosovskyDepartment of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.
Bridgeport Hospital · USSt. George's School · USUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rhombencephalitis is a rare and potentially fatal condition involving the brainstem, with infectious, autoimmune, and paraneoplastic etiologies. We present a patient presenting with left-extremity weakness and dysphonia who had brainstem imaging findings suggestive of rhombencephalitis. We suspect that the case was due to inoculation of the brainstem from nasopharyngeal adenoviral infection. Due to heavy cocaine use, extensive basiocciput erosion led to direct contact between the brainstem and the nasopharyngeal mucosa. The patient's milder clinical course might have been due to some degree of pre-existing immunity against adenovirus. Additionally, clinicians need to be aware of the proximity of the brainstem to the nasopharynx when there is basiocciput erosion, due to the potential risk of injury during instrumentation.

Indexed as

Cocaine abusedirect spreadrhombencephalitisskull base erosion

Identifiers

PMID30956592
PMCPMC6442913
OpenAlexW2912755552

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.