Evidence map›Paper›PMID 31786581›Full record

ArticleThe American journal of case reports2019

Aortic Dissection: An Easily Missed Diagnosis when Pain Doesn't Hold the Stage.

Maria Mirabela Manea, Dorin Dragos, Florian Antonescu, Adrian George Sirbu, Andreea Taisia Tiron, Ana Maria Dobri, Sorin Tuta

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 1 institution in 1 country.

Maria Mirabela ManeaDepartment of Neurology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Dorin DragosMedical Semiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Florian AntonescuDepartment of Neurology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Adrian George SirbuDepartment of Radiology, National Institute of Neurology and Neurovascular Diseases, Bucharest, Romania.
Andreea Taisia TironDepartment of Cardiology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Ana Maria DobriDepartment of Neurology, National Institute of Neurology and Neurovascular Diseases, Bucharest, Romania.
Sorin TutaDepartment of Neurology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Type A aortic dissection (AD) is a rare disease, with a high mortality rate. Its most common symptom is thoracic pain, which is nevertheless absent in about 6% of cases. Neurologic complications are extremely rare and include ischemic stroke and ischemic neuropathy (which are the most common as presenting symptoms), spinal cord ischemia, and hypoxic encephalopathy. These rare neurological presentations can often be missed at initial clinical examination. CASE REPORT We report 2 cases of patients presenting with seemingly mild neurological symptoms. However, diagnostic tests revealed acute type A AD, and further steps were taken. CONCLUSIONS Although it is a rare cause of transient stroke or peripheral nerve ischemia, AD should be quickly recognized as a potential cause of new-onset neurological manifestations.

Indexed as

Missed DiagnosisAgedAortic DissectionComputed Tomography AngiographyFatal OutcomeFemaleHumansIschemic Attack, TransientMaleParesisPeripheral Nervous System Diseases

Identifiers

PMID31786581
PMCPMC6910182
OpenAlexW2994012479

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.