Evidence map›Paper›PMID 31565645›Full record

ReviewCureus2019

Primary Spinal Astrocytomas: A Literature Review.

John Ogunlade, James G Wiginton, Christopher Elia, Tiffany Odell, Sanjay C Rao

Registry-linked trialAbstract readReview
In one paragraph

Review in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04211974 (Genomic Landscape of Intramedullary Astrocytoma), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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.

NCT04211974 unknown statusnot on this map

Genomic Landscape of Intramedullary Astrocytoma

TypeobservationalSponsorXuanwu Hospital, BeijingRan2019 to 2023Enrolled50ConditionsSpinal Cord AstrocytomaArmswhole-exome sequencing
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Extracellular vesicles in spine tumors: biological roles, immune modulation, and therapeutic implications.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Holocord intramedullary pilocytic astrocytoma mimicking holocord spinal abscess: a case report and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Clinical Manifestations and Diagnosis of Axial Spondyloarthritis.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2021
    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

5 authors.

John OgunladeNeurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
James G WigintonNeurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Christopher EliaNeurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Tiffany OdellNeurosurgery, Desert Regional Medical Center, Palm Springs, USA.
Sanjay C RaoNeurosurgery, Kaiser Permanente - Fontana Medical Center, Fontana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary spinal astrocytoma is a subtype of glioma, the most common spinal cord tumor found in the intradural intramedullary compartment. Spinal astrocytomas account for 6-8% of all spinal cord tumors and are primarily low grade (World Health Organization grade I (WHO I) or WHO II). They are seen in both the adult and pediatric population with the most common presenting symptoms being back pain, sensory dysfunction, or motor dysfunction. Magnetic Resonance Imaging (MRI) with and without gadolinium is the imaging of choice, which usually reveals a hypointense T1 weighted and hyperintense T2 weighted lesion with a heterogeneous pattern of contrast enhancement. Further imaging which may aid in surgical planning includes computerized tomography, diffusion tensor imaging, and tractography. Median survival in spinal cord astrocytomas ranges widely. The factors most significantly associated with poor prognosis and shorter median survival are older age at initial diagnosis, higher grade lesion based on histology, and extent of resection. The mainstay of treatment for primary spinal cord astrocytomas is surgical resection, with the goal of preservation of neurologic function, guided by intraoperative neuromonitoring. Adjunctive radiation has been shown beneficial and may increase overall survival. The role of adjunctive chemotherapy is employed, however, its benefit has not been clearly defined. Primary spinal cord astrocytomas are rare and challenging to treat. The gold standard treatment is surgical resection. Second-line treatments include radiation and chemotherapy, although, the optimal regimen for adjunctive therapy has not yet been clearly defined.

Indexed as

astrocytomaglioblastomagliomaintraduralintramedullaryspinal astrocytomaspinal cord neoplasmsspinal tumor

Identifiers

PMID31565645
PMCPMC6759039

What OpenQuestion holds

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Registered trials

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.