Evidence map›Paper›PMID 31391398›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Asymptomatic Pontine Lesion and Diabetic Amyotrophy after Rapid Improvement of Poor Glycemic Control in a Patient with Type 1 Diabetes.

Yuri Shimizu, Junji Kozawa, Tomoaki Hayakawa, Yasuha Sakai, Takekazu Kimura, Tetsuhiro Kitamura, Sho Murase, Hisashi Tanaka, Norikazu Maeda, Michio Otsuki and 4 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

14 authors at 1 institution in 1 country.

Yuri ShimizuDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Junji KozawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Tomoaki HayakawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Yasuha SakaiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Takekazu KimuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Tetsuhiro KitamuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Sho MuraseDepartment of Neurology, Graduate School of Medicine, Osaka University, Japan.
Hisashi TanakaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka University, Japan.
Norikazu MaedaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Michio OtsukiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Takaaki MatsuokaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Hideki MochizukiDepartment of Neurology, Graduate School of Medicine, Osaka University, Japan.
Hiromi IwahashiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Iichiro ShimomuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan.
Osaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We herein report a 28-year-old woman with type 1 diabetes with an asymptomatic pontine lesion and diabetic amyotrophy. She had suffered from diabetes from 10 years old. Treatment in a hospital reduced the hemoglobin A1c level from 14.2% to 7.2% for approximately 2 months. She suffered from acute-onset pain and weakness of the lower limb muscles without central nervous system manifestations. Magnetic resonance imaging showed high-intensity lesions at the brainstem and lower limb muscles on T2-weighted images. These findings and symptoms gradually resolved. Rapid treatment of poor glycemic control might increase the risk of asymptomatic pontine lesions and diabetic amyotrophy.

Indexed as

PonsAdultBlood GlucoseBrain DiseasesDiabetes Mellitus, Type 1Diabetic NeuropathiesFemaleGlycated HemoglobinHumansHypoglycemic AgentsInsulinLumbosacral PlexusMagnetic Resonance ImagingMuscle WeaknessPainPeripheral Nervous System DiseasesBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinasymptomatic pontine lesiondiabetic amyotrophyglycemic controlmagnetic resonance imagingosmotic demyelination syndrometype 1 diabetes

Identifiers

PMID31391398
PMCPMC6928506
OpenAlexW2964905413

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.