Evidence map›Paper›PMID 31261134›Full record

ReviewJournal of neurosurgery2019

Cavernous angiomas: deconstructing a neurosurgical disease.

Issam A Awad, Sean P Polster

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Cavernous hemangioma: a rare case report in the maxillary sinus.Annals of medicine and surgery (2012) · 2026
    Article
  11. Review
  12. Article
  13. The Role of the Microbiome and the Neurovascular Unit.The Surgical clinics of North America · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Focused ultrasound augments the delivery and penetration of model therapeutics into cerebral cavernous malformations.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  18. Article
  19. Article
  20. SilencingInternational journal of molecular sciences · 2025
    Article

7 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Issam A Awad
Sean P Polster
University of Chicago · US

Funding

Somatic mutation(s) and cellular changes in CCM pathogenesisP01NS092521 · NINDS · DUKE UNIVERSITY · PI KAHN, MARK L · 2015 to 2024
$12.9M
Atorvastatin Treatment of Cavernous Angiomas with Symptomatic Hemorrhage Exploratory Proof of Concept (AT CASH EPOC) TrialR01NS107887 · NINDS · UNIVERSITY OF CHICAGO · PI AWAD, ISSAM A · 2018 to 2022
$3.9M
Trial Readiness in Cavernous Angiomas with Symptomatic HemorrhageU01NS104157 · NINDS · UNIVERSITY OF CHICAGO · PI AWAD, ISSAM A · 2018 to 2022
$3.8M
Rock Inhibition as Therapy for Cerebral Cavernous MalformationR01NS077957 · NINDS · UNIVERSITY OF CHICAGO · PI AWAD, ISSAM A, MARCHUK, DOUGLAS A. · 2012 to 2016
$2.3M
Genesis and Progression of Cerebral Cavernous MalformationsR01NS060748 · NINDS · DUKE UNIVERSITY · PI AWAD, ISSAM A, MARCHUK, DOUGLAS A. · 2009 to 2012
$2.0M
PHENOTYPE-GENOTYPE IN GEREBRAL VASCULAR MALFORMATIOINSK24NS002153 · NINDS · YALE UNIVERSITY · PI AWAD, ISSAM A · 2000 to 2004
$553k
BIOMARKERS OF BRAIN PERMEABILITY IN HUMAN CEREBRAL CAVERNOUS MALFORMATIONSR21NS087328 · NINDS · UNIVERSITY OF CHICAGO · PI AWAD, ISSAM A · 2014 to 2015
$435k
IMMUNE RESPONSE IN HUMAN CEREBRAL CAVERNOUS MALFORMATIONSR21NS052285 · NINDS · NORTHSHORE UNIVERSITY HEALTHSYSTEM · PI AWAD, ISSAM A · 2007 to 2008
$367k
NINDS NIH HHS K24 NS002153NINDS NIH HHS P01 NS092521NINDS NIH HHS R01 NS060748NINDS NIH HHS R01 NS077957NINDS NIH HHS R01 NS107887NINDS NIH HHS R21 NS052285NINDS NIH HHS R21 NS087328NINDS NIH HHS U01 NS104157
6 · The paper itself

Abstract

Cavernous angioma (CA) is also known as cavernoma, cavernous hemangioma, and cerebral cavernous malformation (CCM) (National Library of Medicine Medical Subject heading unique ID D006392). In its sporadic form, CA occurs as a solitary hemorrhagic vascular lesion or as clustered lesions associated with a developmental venous anomaly. In its autosomal dominant familial form (Online Mendelian Inheritance in Man #116860), CA is caused by a heterozygous germline loss-of-function mutation in one of three genes-CCM1/KRIT1, CCM2/Malcavernin, and CCM3/PDCD10-causing multifocal lesions throughout the brain and spinal cord.In this paper, the authors review the cardinal features of CA's disease pathology and clinical radiological features. They summarize key aspects of CA's natural history and broad elements of evidence-based management guidelines, including surgery. The authors also discuss evidence of similar genetic defects in sporadic and familial lesions, consequences of CCM gene loss in different tissues at various stages of development, and implications regarding the pathobiology of CAs.The concept of CA with symptomatic hemorrhage (CASH) is presented as well as its relevance to clinical care and research in the field. Pathobiological mechanisms related to CA include inflammation and immune-mediated processes, angiogenesis and vascular permeability, microbiome driven factors, and lesional anticoagulant domains. These mechanisms have motivated the development of imaging and plasma biomarkers of relevant disease behavior and promising therapeutic targets.The spectrum of discoveries about CA and their implications endorse CA as a paradigm for deconstructing a neurosurgical disease.

Indexed as

angiomaCA = cavernous angiomaCASH = CA with symptomatic hemorrhagecavernomacavernousCCM = cerebral cavernous malformationCD14 = cluster of differentiation 14DCEQP = dynamic contrast enhanced quantitative perfusionDVA = developmental venous anomalyepilepsyFDR = false discovery ratehemangiomahemorrhagic strokeMEKK = mitogen-activated protein kinase kinaseQSM = quantitative susceptibility mappingsCD14 = soluble form of CD14sROBO4 = soluble form of Roundabout 4SRS = stereotactic radiosurgerySWI/VenBold = susceptibility weighted imaging/BOLD venographic imagingT2*/GRE = gradient recalled echo acquiredTLR4 = toll-like receptor 4vascular disordersvascular malformationVEGF = vascular endothelial growth factor

Identifiers

PMID31261134
PMCPMC6778695
OpenAlexW2954759368

What OpenQuestion holds

Textmetadata
LicenceTDM
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.