Evidence map›Paper›PMID 30996172›Full record

ArticleInternal medicine (Tokyo, Japan)2019

A 29-year-old Woman with Recurrent Pregnancy-induced Hypertension Based on Vascular Compression of the Medulla Oblongata.

Tetsuya Akaishi, Hideyasu Kiyomoto, Michiaki Abe, Hiroshi Okuda, Kota Ishizawa, Toshiki Endo, Masahiro Miyata, Keisuke Nakayama, Sadayoshi Ito, Teiji Tominaga and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. 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
0.3field-weighted citation impact, top 40% 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, 3 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 3 institutions in 1 country.

Tetsuya AkaishiDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Japan.
Hideyasu KiyomotoDepartment of Community Medical Supports, Tohoku Medical Megabank Organization, Japan.
Michiaki AbeDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Japan.
Hiroshi OkudaDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Japan.
Kota IshizawaDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Japan.
Toshiki EndoDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Japan.
Masahiro MiyataRIFUNONAIKA CLINIC, Japan.
Keisuke NakayamaRIFUNONAIKA CLINIC, Japan.
Sadayoshi ItoDivision of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Japan.
Teiji TominagaDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Japan.
Tadashi IshiiDepartment of Education and Support for Regional Medicine, Tohoku University Hospital, Japan.
Tohoku University Hospital · JPTohoku Medical Megabank Organization · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a report of a 29-year-old woman with non-dipper type refractory hypertension due to the vascular compression of the medulla oblongata. The patient was diagnosed with hypertension at 17 years of age and underwent emergency Caesarean section at 26 weeks of gestation during 2 pregnancies due to severe high blood pressure. We suspected medullary compression by the curved posterior inferior cerebellar artery as the cause of her intractable hypertension, and she underwent Jannetta's decompression surgery. After the surgery, her blood pressure swiftly decreased to almost within the normal range, and her blood pressure pattern normalized to dipper type.

Indexed as

AdultBlood PressureCesarean SectionDecompression, SurgicalFemaleGestational AgeHumansHypertension, Pregnancy-InducedMedulla OblongataPregnancyVertebral Arteryintractable hypertensionJannetta's decompression surgerymedullary compressionnon-dipper typepregnancy-induced hypertension

Identifiers

PMID30996172
PMCPMC6709317
OpenAlexW2937170941

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.