Evidence map›Paper›PMID 32489760›Full record

ArticleJournal of general and family medicine2020

A central nervous system metastasis of melanoma with stroke-like onset of left-lower quadrantanopsia.

Akira Arakawa, Akihiko Mitsutake, Takuto Hideyama, Tatsuya Sato, Junko Katsumata, Tomonari Seki, Risa Maekawa, Makoto Ohno, Yoshitaka Narita, Yasushi Shiio

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of general and family medicine, 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 41% 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

10 authors at 2 institutions in 1 country.

Akira ArakawaDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-9336-1168
Akihiko MitsutakeDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Takuto HideyamaDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Tatsuya SatoDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Junko KatsumataDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Tomonari SekiDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Risa MaekawaDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Makoto OhnoDepartment of Cerebrospinal Oncology National Cancer Center Hospital Tokyo Japan.
Yoshitaka NaritaDepartment of Cerebrospinal Oncology National Cancer Center Hospital Tokyo Japan.
Yasushi ShiioDepartment of Neurology Tokyo Teishin Hospital Tokyo Japan.
Tokyo Teishin Hospital · JPNational Cancer Centre Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

"Stroke mimics" mean diseases presenting with acute neurological impairments that are taken for stroke. Discriminating them is crucial to avoid improper treatment or delayed correct treatment. We describe a 48-year-old woman presenting with a sudden onset of scintillating scotoma and left-lower quadrantanopsia. Hyperacute cerebral infarction was suspected. However, brain magnetic resonance imaging (MRI) revealed a mass at the cortico-medullary junction in the right occipital lobe. We diagnosed her as metastatic melanoma. We suspected that neurological deficits can be attributed to seizure, and therefore introduced levetiracetam. She showed neurological improvement immediately. Our case demonstrated the importance of considering brain tumor as a differential diagnosis in patients presenting with acute-onset neurological deficits. In addition to appropriate treatment of tumor, the use of newer antiepileptic drugs resulted in good neurological prognosis in metastatic brain tumors.

Indexed as

central nervous system metastasismagnetic resonance imagingmelanomastroke mimicsvisual symptom

Identifiers

PMID32489760
PMCPMC7260162
OpenAlexW3006593486

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.