Evidence map›Paper›PMID 32487533›Full record

ArticleBMJ case reports2020

Chemotherapy associated dural sinus thrombosis presenting as a cerebrospinal fluid leak.

Iulia Bujoreanu, Mark Ferguson, Hesham Saleh

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

3 authors at 2 institutions in 1 country.

Iulia BujoreanuDepartment of Surgery and Cancer, Imperial College London, London, UK ibujoreanu01@gmail.com.ORCID http://orcid.org/0000-0003-1557-2960
Mark FergusonENT Department, Imperial College Healthcare NHS Trust, London, UK.
Hesham SalehENT Department, Imperial College Healthcare NHS Trust, London, UK.
Imperial College Healthcare NHS Trust · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the well documented increased risk of thrombosis in patients with cancer and during chemotherapy, cerebral venous sinus thrombosis (CVT) remains a rare entity. We present a rare case of cerebrospinal fluid (CSF) rhinorrhoea secondary to a left transverse sinus thrombus which occurred 2 years previously during chemotherapy for breast cancer. The patient underwent a three-layer repair using Neuro-Patch, septal cartilage and middle turbinate pedicle flap and was started on acetazolamide. There was no recurrence at 1-year follow-up. Raised intracranial pressure secondary to cerebral venous occlusion can erode the base of skull and predispose to CSF leaks. Despite the theoretical risk, there have been no cases reported where CSF leaks have occurred following chemotherapy induced CVT. We describe the first case and discuss pathophysiology and management.

Indexed as

CarboplatinCerebrospinal Fluid RhinorrheaEncephaloceleSinus Thrombosis, IntracranialAcetazolamideAntineoplastic AgentsBreast NeoplasmsDiureticsEndoscopyFemaleHumansMagnetic Resonance ImagingMiddle AgedSkull BaseTransverse SinusesTreatment OutcomeAcetazolamideAntineoplastic AgentsCarboplatinDiureticschemotherapycoma and raised intracranial pressurevenous thromboembolism

Identifiers

PMID32487533
PMCPMC7265007
OpenAlexW3028935410

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.