Evidence map›Paper›PMID 32554459›Full record

ArticleBMJ case reports2020

Dysautonomia secondary to third ventriculostomy successfully managed with midodrine.

Torcato Moreira Marques, André Almeida, Joana Pinheiro, Paula Oliveira Nascimento

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 93% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 1 institution in 1 country.

Torcato Moreira MarquesInternal Medicine Department, Hospital de Santa Marta, Lisboa, Portugal torcato.marques@chlc.min-saude.pt.ORCID http://orcid.org/0000-0003-2820-3259
André AlmeidaInternal Medicine Department, Hospital de Santa Marta, Lisboa, Portugal.
Joana PinheiroEndocrinology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil EPE, Lisboa, Portugal.
Paula Oliveira NascimentoInternal Medicine Department, Hospital de Santa Marta, Lisboa, Portugal.
Hospital de Santa Marta · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypothalamic lesions can compromise its essential regulatory roles resulting in critical disruption of temperature and blood pressure homoeostasis. We present the case of a 55-year-old woman who had been previously submitted to several neurosurgical procedures aimed at treating idiopathic hydrocephalus. She presented to our department with recurring episodes of hypothermia and wide blood pressure variations, which had been worsening over the last few years. After extensive complementary workup, which excluded new neurological lesions or endocrinological conditions, hypothalamic dysfunction was assumed to be the cause of this syndrome. She was successfully treated with midodrine and on-demand captopril, which resulted in adequate control of her blood pressure. This case highlights the rare and unpredictable consequences of damage to the hypothalamus, depicting the favourable result of a heretofore unpublished medical approach.

Indexed as

Postoperative ComplicationsFemaleHumansMiddle AgedMidodrinePrimary DysautonomiasThird VentricleTreatment OutcomeVentriculostomyMidodrinedrugs: CNS (not psychiatric)neuroendocrinologyneurological injuryneurology (drugs and medicines)neurosurgery

Identifiers

PMID32554459
PMCPMC7304637
OpenAlexW3036238590

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.