Evidence map›Paper›PMID 31939513›Full record

ArticleRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2020

BARIATRIC SURGERY AS A TREATMENT FOR IDIOPATHIC INTRACRANIAL HYPERTENSION IN A MALE ADOLESCENT: CASE REPORT.

Marina Ybarra, Tiago Jeronimo Dos Santos, Edjane Santos Queiroz, Ludmilla Rachid, Ruth Rocha Franco, Louise Cominato, Frederico Castelo Moura, Manoel Carlos Velhote, Durval Damiani

Registry-linked trialOpen access · diamondAbstract readCase Reports
In one paragraph

Article in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06913712 (Evolution of Body Mass Index in Idiopathic Intracranial Hypertension and Its Relationship With the Response to Treatment. Retrospective and Prospective Study), which is not on this 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 47% 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.

NCT06913712 recruitingnot on this mapstarted 2024, after this paper: background citation

Evolution of Body Mass Index in Idiopathic Intracranial Hypertension and Its Relationship With the Response to Treatment. Retrospective and Prospective Study

TypeobservationalSponsorUniversity of ValenciaRan2024 to 2028Enrolled25ConditionsIdiopathic Intracranial Hypertension (IIH)ArmsWeight loss without pharmacotherapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

9 authors at 1 institution in 1 country.

Marina YbarraUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-7697-2218
Tiago Jeronimo Dos SantosUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9682-0289
Edjane Santos QueirozUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8672-1751
Ludmilla RachidUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5843-5646
Ruth Rocha FrancoUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5811-7656
Louise CominatoUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9752-1117
Frederico Castelo MouraUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7949-6832
Manoel Carlos VelhoteUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-9018-1164
Durval DamianiUniversidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-2748-4442
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe a case of a male adolescent with symptomatic idiopathic intracranial hypertension (IIH) associated with obesity treated with bariatric surgery. CASE DESCRIPTION: A 16-year-and-6-month-old severely obese boy [weight: 133.6 kg; height: 1.74 m (Z score: +0.14); BMI: 44.1 kg/m2 (Z score: +4.4)], Tanner pubertal stage 5, presented biparietal, high-intensity, and pulsatile headaches, about five times per week, associated with nocturnal awakenings, and partial improvement with common analgesics, for three months. Ophthalmologic evaluation evidenced bilateral papilledema. Cranial computed tomography revealed no mass or anatomic abnormalities. Lumbar puncture showed increased intracranial pressure of 40 cmH2O (reference value: <28 cmH2O) with a normal content. After being diagnosed with IIH, the patient was started on acetazolamide. However, after three months, he was still symptomatic. He was diagnosed with obesity due to excess energy intake and, as he had failed to lose weight after a conventional clinical treatment, bariatric surgery was indicated. The patient (at 16 years and nine months) underwent an uncomplicated laparoscopic sleeve gastrectomy. Ophthalmologic evaluation, performed five months after surgery, revealed normal visual acuity in both eyes and improvement of bilateral papilledema. Follow-up at 18 months showed a 67.5% loss of excess weight (weight: 94.5 kg and BMI: 31.2 kg/m2) and complete resolution of IIH symptoms. COMMENTS: IIH is characterized by increased intracranial pressure with no evidence of deformity or obstruction of the ventricular system on neuroimaging. It has been associated with obesity. Bariatric surgery may be a valid alternative approach for morbidly obese adolescent patients with refractory symptoms.

Indexed as

AcetazolamideAdolescentAftercareBariatric SurgeryDiureticsFundus OculiHeadacheHumansMaleObesity, MorbidPapilledemaPseudotumor CerebriSpinal PunctureTreatment OutcomeWeight LossAcetazolamideDiuretics

Identifiers

PMID31939513
PMCPMC6958548
OpenAlexW2999957473

What OpenQuestion holds

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LicenceCC BY
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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.