Evidence map›Paper›PMID 32054523›Full record

SynthesisBMC neurology2020

Modern treatment of perineuriomas: a case-series and systematic review.

Anne-Kathrin Uerschels, Christos Krogias, Andreas Junker, Ulrich Sure, Karsten H Wrede, Oliver Gembruch

Open access · goldAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Anne-Kathrin UerschelsDepartment of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Christos KrogiasDepartment of Neurology, St. Josef-Hospital Bochum, Ruhr University Bochum, Bochum, Germany.
Andreas JunkerDepartment of Neuropathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Ulrich SureDepartment of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Karsten H WredeDepartment of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Oliver GembruchDepartment of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Essen, Germany. oliver.gembruch@uk-essen.de.ORCID http://orcid.org/0000-0002-0054-1611
University of Duisburg-Essen · DEEssen University Hospital · DESt. Josef-Hospital · DE

Funding

Medizinische Fakultät, Universität Duisburg-Essen D/107-40960
6 · The paper itself

Abstract

backgroundPerineuriomas are rare benign peripheral nerve sheath tumours of perineurial cell origin and can be classified into intraneural and extraneural perineuriomas. They most commonly present a mononeuropathy of gradual onset and slow progression, resulting in progressive neurological deficits like hypoesthesia or motor weakness. Therapy is still variable. Aim of the study was to compare our surgical treatment and our follow-up regime including high-resolution nerve sonography with the current literature to evaluate best treatment of perineuriomas.

methodsRetrospective analysis of our dataset "peripheral nerve lesion" to identify patients suffering from perineuriomas between 01.01.2012 until 31.12.2018. Surgical treatment and the follow-up examination of three patients were described. Additionally, a systematic review including PubMed, the Cochrane Collaboration Library, Scopus and Google Scholar was performed for literature published between January 1, 1990 and October 31, 2019 independently by 2 authors.

resultsIn the first case, the left ulnar nerve was affected. In the second case, the left peroneal nerve and in the third case the right median nerve was affected. High-resolution nerve sonography was performed in each case. All patients underwent interfascicular neurolysis combined with a targeted fascicular biopsy under electrophysiological monitoring. Neurological deficits improved subsidized by rehabilitation. Surgical therapy and the neurological outcome were compared with literature. Systematic review revealed 22 articles, which met the inclusion criteria. Therefore, demographics, surgical treatment and neurological outcome of 77 patients were analysed.

conclusionsPerineuriomas are rare benign nerve sheath tumours with a slow progression, sometimes difficult to diagnose. Decompression and neurolysis may improve neurological deficits. High resolution nerve sonography might serve as a helpful additional diagnostic tool in this process.

Indexed as

AdolescentBiopsyFemaleHumansMaleMedian NerveMiddle AgedNerve Sheath NeoplasmsRetrospective StudiesUlnar NerveDecompression and neurolysisIntraneural perineuriomaSurgical treatmentTarget fascicular biopsy

Identifiers

PMID32054523
PMCPMC7017529
OpenAlexW3005572121

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.