Evidence map›Paper›PMID 32239293›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020

Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles.

Marcos Devanir Silva da Costa, Jardel Mendonça Nicacio, Patricia Alessandra Dastoli, Italo Capraro Suriano, Stéphanno Gomes Pereira Sarmento, Mauricio Mendes Barbosa, Antonio Fernandes Moron, Sergio Cavalheiro

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Prevalence of spinal deformities in myelomeningoceles treated in utero and postnatally, utilizing 3D external orthopedic system (EOS) panoramic radiographic technology.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Spontaneous third ventriculostomy in patients undergoing fetal surgery for myelomeningocele correction.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  7. Hydrocephalus in myelomeningocele.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    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

8 authors at 2 institutions in 1 country.

Marcos Devanir Silva da CostaDepartment of Neurosurgery, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil. marcoscostaneuro@gmail.com.ORCID 0000-0003-3552-6347
Jardel Mendonça NicacioDepartment of Neurosurgery, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Patricia Alessandra DastoliDepartment of Neurosurgery, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Italo Capraro SurianoDepartment of Neurosurgery, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Stéphanno Gomes Pereira SarmentoDepartment of Obstetrics, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Mauricio Mendes BarbosaDepartment of Obstetrics, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Antonio Fernandes MoronDepartment of Obstetrics, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Sergio CavalheiroDepartment of Neurosurgery, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil.
Hospital Santa Paula · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus.

methodsThis was a retrospective cross-sectional study that analyzed three groups: the postnatal group, 57 patients who underwent myelomeningocele repair up to 48 h after birth; the fetal group, 70 patients who underwent myelomeningocele repair between 19 and 27 weeks of gestation; and a control group (65). We compared the rate of hydrocephalus treatment, the clivus-supraocciput angle (CSA), and the Welcher angle.

resultsThe mean CSA in the fetal group was 87.6°, and the postnatal group was significantly different at 78.3° (p < 0.0001). The control group (89.1°) was significantly different from the postnatal group but not from the fetal group. The mean Welcher angle was not significantly different between the groups. There was an 8.5% rate of surgical treatment for hydrocephalus in the fetal group, compared with 73.6% in the postnatal group.

conclusionsThe CSA in the fetal group was larger than that in the postnatal group, which may explain the decrease in the prevalence of hydrocephalus in the fetal group.

Indexed as

HydrocephalusMeningomyeloceleCranial Fossa, PosteriorCross-Sectional StudiesFemaleHumansRetrospective StudiesFetal surgeryHydrocephalusMyelomeningoceleSkull base

Identifiers

PMID32239293
OpenAlexW3014392699

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.