Evidence map›Paper›PMID 31234935›Full record

ArticleJournal of medical case reports2019

Altered behavior with an organic cause: a case report.

Dolores Mejía, Rafael Contreras, Guarina Molina, Michael Alcántara

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

4 authors at 1 institution in 3 countries.

Dolores MejíaResearch Department, General Hospital of the Health Plaza (HGPS), Santo Domingo, Dominican Republic.
Rafael ContrerasResearch Department, General Hospital of the Health Plaza (HGPS), Santo Domingo, Dominican Republic.
Guarina MolinaResearch Department, General Hospital of the Health Plaza (HGPS), Santo Domingo, Dominican Republic. guarinamolinamd@gmail.com.ORCID http://orcid.org/0000-0003-2795-6179
Michael AlcántaraResearch Department, General Hospital of the Health Plaza (HGPS), Santo Domingo, Dominican Republic.
Hospital General San Juan de Dios · GT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsulinomas are pancreatic endocrine tumors of rare incidence worldwide, the vast majority are of single occurrence and benign. These may not always present with the clear symptoms described in the literature and may be overlooked because their neuroglycopenic characteristics present in a fashion similar to some psychiatric conditions. CASE REPORT: A 50-year-old Hispanic man referred severe psychomotor symptoms, described as anxiety, aggressiveness, agitation, weakness, diaphoresis, and decreased visual acuity. Laboratory testing performed during his last episode revealed increased insulin levels and C-peptide among other findings. Imaging, biopsy, and histopathologic analysis confirmed an insulinoma was the cause of the symptoms, proving the importance of ruling out organic causes of altered mental status prior to consideration of psychiatric disorders.

conclusionIt is of critical importance to rule out organic causes of altered mental status prior to consideration of psychiatric disorders, as unusual diseases may be overlooked by physicians and be detrimental to the patient's progress.

Indexed as

AggressionAnxietyHumansInsulinomaMaleMiddle AgedMuscle WeaknessPancreatic NeoplasmsPsychomotor AgitationSweatingVision DisordersAltered mental statusInsulinomaNeuroendocrine tumor

Identifiers

PMID31234935
PMCPMC6591983
OpenAlexW2954242295

What OpenQuestion holds

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LicenceCC BY
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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.