Evidence map›Paper›PMID 31156540›Full record

ReviewFrontiers in neurology2019

Role of Decompressive Craniectomy in the Management of Cerebral Venous Sinus Thrombosis.

Raghunath Avanali, M S Gopalakrishnan, B Indira Devi, Dhananjaya I Bhat, Dhaval P Shukla, Nagesh C Shanbhag

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Decompressive craniectomy in children: indications and outcome from a tertiary centre.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Cerebral venous thrombosis.Arquivos de neuro-psiquiatria · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Study on Cerebral Venous Thrombosis From 2014 to 2023: A Bibliometric Analysis via CiteSpace.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

6 authors at 2 institutions in 2 countries.

Raghunath AvanaliDepartment of Neurosurgery, Government T. D. College, Allapuzha, India.
M S GopalakrishnanDepartment of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
B Indira DeviDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Dhananjaya I BhatDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Dhaval P ShuklaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
Nagesh C ShanbhagDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.
National Institute of Mental Health and Neurosciences · INJawaharlal Institute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral venous sinus thrombosis (CVST) is a relatively uncommon cause of stroke more often affecting women and younger individuals. Blockage of the venous outflow rapidly causes edema and space-occupying venous infarctions and it seems intuitive that decompressive craniectomy (DC) can effectively reduce intracranial pressure just like it works for malignant middle cerebral artery infarcts and traumatic brain injury. But because of the relative rarity of this type of stroke, strong evidence from randomized controlled trials that DC is a life-saving procedure is not available unlike in the latter two conditions. There is a possibility that other forms of interventions like endovascular recanalization, thrombectomy, thrombolysis, and anticoagulation, which cannot be used in established middle cerebral artery infarcts and TBI, can reverse the ongoing pathology of increasing edema in CVST. Such interventions, although presently unproven, could theoretically obviate the need for DC when used in early stages. However, in the absence of such evidence, we recommend that DC be considered early as a life-saving measure whenever there are large hemorrhagic infarcts, expanding edema, radiological, and clinical features of impending herniation. This review gives an overview of the etiology and risk factors of CVST in different patient populations and examines the effectiveness of DC and other forms of interventions.

Indexed as

anticoagulationcerebral venous sinus thrombosisdecompressive craniectomyoutcomerisk factors

Identifiers

PMID31156540
PMCPMC6529953
OpenAlexW2946822588

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.