Evidence map›Paper›PMID 31008325›Full record

ArticleEuropean stroke journal2017

Cervical artery dissection after sports - An analytical evaluation of 190 published cases.

Ludwig Schlemm, Christian H Nolte, Stefan T Engelter, Matthias Endres, Martin Ebinger

Abstract read
In one paragraph

Article in European stroke journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Recurrence of cervical artery dissection: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2024
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Approach considerations for the management of strangulation in the emergency department.Journal of the American College of Emergency Physicians open · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Cervical Artery Dissection and Sports.Frontiers in neurology · 2021
    Article
  14. Article
  15. Observational
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

5 authors.

Ludwig SchlemmDepartment of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Christian H NolteDepartment of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Stefan T EngelterStroke Center and Department of Neurology, University Hospital Basel and University of Basel, Switzerland.
Matthias EndresDepartment of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Martin EbingerDepartment of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCervical artery dissections may be preceded by mechanical trigger events, often related to sports.

methodsUsing the MEDLINE database, we identified case reports and case series of sports-related cervical artery dissections. Information of the type of sport, age and gender of the patient, affected vessels, associated infarction, time delay, and neurological sequelae were extracted. Demographic and clinical characteristics were compared between sport groups using analysis of variance and Chi square tests. Differences were further assessed with adjusted post hoc tests and homogenous subsets.

resultsA total of 115 reports describing 190 patients with cervical artery dissections related to 45 different sports were identified. The mean age of all patients was 35 years; 26% of all patients were women. Anterior and posterior circulation, as well as left and right side were affected with similar frequency. Patients belonging to different sport categories differed significantly with regard to age ( DISCUSSION: We performed a comprehensive review and analytical evaluation of case reports describing patients with cervical artery dissections after sport. Confirmation of our findings in prospective studies is needed.

conclusionCervical artery dissection has been described in relation to a wide variety of sports. The risk of injury to particular neurovascular structures may depend on the type sport involved. Discipline-specific incidence rates are not known.

Indexed as

athletic injuriesbrain infarctioncarotid artery dissectionsportsStrokevertebral artery dissection

Identifiers

PMID31008325
PMCPMC6453193

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.