Evidence map›Paper›PMID 31879333›Full record

ArticleAJNR. American journal of neuroradiology2020

Intra-Arterial Verapamil Treatment in Oral Therapy-Refractory Reversible Cerebral Vasoconstriction Syndrome.

J M Ospel, C H Wright, R Jung, L L M Vidal, S Manjila, G Singh, D V Heck, A Ray, K A Blackham

Open access · hybridAbstract readCase Reports
In one paragraph

Article in AJNR. American journal of neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Reversible cerebral vasoconstriction syndrome: literature review.The Egyptian journal of neurology, psychiatry and neurosurgery · 2023
    Review
  5. Review
  6. 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

9 authors at 8 institutions in 2 countries.

J M OspelFrom the Department of Radiology (J.M.O., K.A.B.), Section of Neuroradiology and Interventional Neuroradiology, Basel University Hospital, University of Basel, Basel, Switzerland johannamaria.ospel@usb.ch.ORCID 0000-0003-0029-6764
C H WrightDepartments of Neurological Surgery (C.H.W.).ORCID 0000-0002-7817-0451
R JungDepartment of Neurology (R.J.), The Sandra and Malcolm Berman Brain & Spine Institute, Sinai Hospital of Baltimore, LIfebridge Health, Baltimore, Maryland.ORCID 0000-0003-2617-9531
L L M VidalDepartment of Diagnostic Radiology and Nuclear Medicine (L.L.M.V.), University of Maryland Medical Center, Baltimore, Maryland.ORCID 0000-0003-3715-2510
S ManjilaDepartment of Neurosurgery and Neurosciences (S.M.), McLaren Bay Region Hospital, Bay City, Michigan.ORCID 0000-0002-5473-6940
G SinghDepartment of Radiology (G.S.), Section of Neuroradiology, Newark Beth Israel Medical Center, Newark, New Jersey.ORCID 0000-0003-4291-9026
D V HeckForsyth Radiological Associates (D.V.H.), Winston-Salem, North Carolina.ORCID 0000-0002-9287-1991
A RayNeurosurgery (A.R.), University Hospitals of Cleveland Case Medical Center, Cleveland, Ohio.ORCID 0000-0002-5583-8156
K A BlackhamFrom the Department of Radiology (J.M.O., K.A.B.), Section of Neuroradiology and Interventional Neuroradiology, Basel University Hospital, University of Basel, Basel, Switzerland.ORCID 0000-0002-1620-1144
University of Basel · CHBay Area Hospital · USForsyth Technical Community College · USNeurological Surgery · USNewark Beth Israel Medical Center · USSinai Hospital · USUniversity Hospitals of Cleveland · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reversible vasoconstriction syndrome is a complex of clinical symptoms and angiographic findings, which, while having a mostly benign clinical course, has clinical and imaging overlap with more serious disorders such as vasculitis and aneurysmal SAH and itself includes a minority of patients with fulminant vasoconstriction resulting in severe intracranial complications. Endovascular options for patients with refractory reversible cerebral vasoconstriction syndrome include intra-arterial vasodilator infusion similar to therapy for patients with vasospasm after SAH. To date, only case reports and 1 small series have discussed the utility of intra-arterial vasodilators for the treatment of reversible cerebral vasoconstriction syndrome. We report an additional series of 11 medically refractory cases of presumed or proved reversible cerebral vasoconstriction syndrome successfully treated with intra-arterial verapamil infusion. Furthermore, we propose that the reversal of vasoconstriction, as seen on angiography, could fulfill a diagnostic criterion.

Indexed as

AdultAgedCerebrovascular DisordersFemaleHumansInfusions, Intra-ArterialMaleMiddle AgedVasoconstrictionVasodilator AgentsVasospasm, IntracranialVerapamilVasodilator AgentsVerapamil

Identifiers

PMID31879333
PMCPMC7015224
OpenAlexW2998302103

What OpenQuestion holds

Textmetadata
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.