Evidence map›Paper›PMID 32695556›Full record

ArticleNMC case report journal2020

A Case of Cerebral Tumor Embolism from Extracardiac Lung Cancer Treated by Mechanical Thrombectomy.

Takahiro Oyama, Takumi Asai, Takuma Miyazawa, Kinya Yokoyama, Yoshihito Kogure, Atsushi Torii, Tomonori Kawasaki, Masasuke Ohno, Noriyuki Suzaki, Yasukazu Kajita and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in NMC case report journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Mechanical thrombectomy for the treatment of large vessel occlusion due to cancer-related cerebral embolism: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
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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

11 authors at 2 institutions in 1 country.

Takahiro OyamaDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Takumi AsaiDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Takuma MiyazawaDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Kinya YokoyamaDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Yoshihito KogureDepartment of Respiratory Medicine, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Atsushi ToriiDepartment of Respiratory Medicine, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Tomonori KawasakiClinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Masasuke OhnoDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Noriyuki SuzakiDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Yasukazu KajitaDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Tatsuo TakahashiDepartment of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Nagoya Medical Center · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral tumor embolism is a rare cause of acute ischemic stroke, and extracardiac carcinoma is an extremely rare cause. A 34-year-old man who had been diagnosed with lung cancer developed right hemiparesis and aphasia, with the National Institutes of Health Stroke Scale (NIHSS) score of 17. Magnetic resonance imaging (MRI) showed early ischemic change in the insular cortex and frontotemporal lobe and left internal carotid artery (ICA) terminal occlusion was confirmed by magnetic resonance angiogram (MRA). Mechanical thrombectomy (MT) with contact aspiration by a Penumbra ACE 68, followed by combined technique with a stent retriever was performed, and a soft, fragile embolus was retrieved. Finally, good recanalization was achieved (Thrombolysis in Cerebral Infarction [TICI] scale 2b), and on the next day, the right hemiparesis and aphasia were improved. However, the patient's general condition gradually worsened, and 43 days after thrombectomy, he died from respiratory failure. The retrieved embolus was examined pathologically and diagnosed as mucoepidermoid carcinoma of the same type as his lung cancer. Chest computed tomography (CT) showed that tumor invaded the right pulmonary vein and left atrium; these findings suggested that a piece of the tumor in the left atrium flowed into the left ICA and caused the acute ischemic stroke.

Indexed as

endovascular treatmentlung cancermechanical thrombectomymucoepidermoid carcinomatumor embolism

Identifiers

PMID32695556
PMCPMC7363642
OpenAlexW3037408652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.