Evidence map›Paper›PMID 31528458›Full record

ArticleSurgical neurology international2019

Mutism resulting from heterochronic bilateral cerebellar hemorrhages - A case report.

Masahito Katsuki, Ayumi Narisawa, Hiroshi Karibe, Motonobu Kameyama, Teiji Tominaga

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Masahito KatsukiDepartments of Neurosurgery, Sendai City Hospital, 1-1-1, Asuto-Nagamachi, Taihaku-ku.
Ayumi NarisawaDepartments of Neurosurgery, Sendai City Hospital, 1-1-1, Asuto-Nagamachi, Taihaku-ku.
Hiroshi KaribeDepartments of Neurosurgery, Sendai City Hospital, 1-1-1, Asuto-Nagamachi, Taihaku-ku.
Motonobu KameyamaDepartments of Neurosurgery, Sendai City Hospital, 1-1-1, Asuto-Nagamachi, Taihaku-ku.
Teiji TominagaDepartments of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aobaku, Sendai, Japan.
Sendai City Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebellar mutism (CM) is a neurological condition characterized by lack of speech due to cerebellar lesions. Interruption of the bilateral dentatothalamocortical (DTC) pathways at midline structure seems the principal cause of CM but not fully understood. We described a rare case of CM due to heterochronic bilateral cerebellar hemorrhages. CASE DESCRIPTION: An 87-year-old woman presented with depression of alertness after sudden vomiting. Neurologically, mild dysmetria and mutism were observed. The head computed tomography (CT) showed both a fresh right cerebellar hemorrhage and an obsolete left one. The patient was diagnosed as CM since both the thalamus and the supplementary motor area were bilaterally intact on both CT and magnetic resonance imaging. Medical treatment and rehabilitation improved her ataxia and ambulation. She became cognitively alert and could communicate by nodding, shaking her head, or facial expression. However, her mutism did not change at 4 months after the stroke.

conclusionThere are few reports on CM due to direct injuries to the bilateral dentate nuclei. Since our case did not show any injury other than bilateral dentate nuclei, this report can support the hypothesis that the interruptions of the bilateral DTC are the cause of CM.

Indexed as

Cerebellar hemorrhageCerebellar mutismDiaschisisThalamodentatocortical pathway

Identifiers

PMID31528458
PMCPMC6744780
OpenAlexW2969265815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.