Evidence map›Paper›PMID 32624486›Full record

ArticleBMJ case reports2020

Hyponatraemia and cerebral oedema due to a modafinil overdose.

Rohan Oliver Kandasamy, Viktorija Kaminskaite, Felix May

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
0.3field-weighted citation impact, top 44% 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, 5 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

3 authors at 2 institutions in 1 country.

Rohan Oliver KandasamyBrain Injury Rehabilitation Unit, North Bristol NHS Trust, Bristol, Avon, UK rohan.kandasamy@gmail.com.
Viktorija KaminskaiteMedical Student, University of Exeter Medical School, Exeter, Devon, UK.
Felix MayBrain Injury Rehabilitation Unit, North Bristol NHS Trust, Bristol, Avon, UK.ORCID http://orcid.org/0000-0003-4773-790X
North Bristol NHS Trust · GBUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modafinil is a non-amphetamine stimulant that is prescribed for narcolepsy-associated sleepiness as well as reported off-licence uses among university students looking to improve wakefulness and focus. There is limited information in the medical literature about supratherapeutic modafinil dosage, symptomatology and management of overdose. We report a case of a healthy 32-year-old man who was found unconscious, having vomited, with an empty modafinil blister strip. At the emergency department, he presented with reduced Glasgow Coma Scale and prolonged episodes of vomiting. This acute presentation was conservatively managed in the intensive care unit. Antibiotics were also given for a suspected aspiration pneumonia. CT of the head showed cerebral oedema and biochemistry investigations revealed hyponatraemia. Result aetiology was unclear, however, it has been theorised to be secondary to a sizeable modafinil overdose.

Indexed as

AdultBrain EdemaCentral Nervous System StimulantsDrug OverdoseHumansHyponatremiaMaleModafinilCentral Nervous System StimulantsModafinilcoma and raised intracranial pressuredrug misuse (including addiction)drugs: CNS (not psychiatric)poisoningunwanted effects / adverse reactions

Identifiers

PMID32624486
PMCPMC7337617
OpenAlexW3039568880

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.