Evidence map›Paper›PMID 33372016›Full record

ArticleBMJ case reports2020

Neurological manifestation in severe hypothyroidism in pregnancy.

Aparna Sharma, Nilofar Noor, Vatsla Dadhwal

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
0.1field-weighted citation impact, top 45% 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, 2 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 1 institution in 1 country.

Aparna SharmaObstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Nilofar NoorObstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, Delhi, India nilofar.noor@gmail.com.ORCID http://orcid.org/0000-0002-8588-7928
Vatsla DadhwalObstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurological manifestations of hypothyroidism include peripheral neuropathy and pituitary hyperplasia. However, these associations are rarely encountered during pregnancy. We report a case of a known hypothyroid with very high thyroid stimulating hormone (TSH) values (512 μIU/mL) in the second trimester. At 24 weeks she developed facial palsy and pituitary hyperplasia which responded to a combination of steroids and thyroxine. She had caesarean delivery at 35 weeks and 3 days gestation in view of pre-eclampsia with severe features and was discharged on oral antihypertensives and thyroxine. On follow-up at 5 months, TSH normalised and pituitary hyperplasia showed a greater than 50% reduction in size. To our knowledge, this is the first reported case of facial palsy and pituitary hyperplasia associated with hypothyroidism during pregnancy.

Indexed as

Adrenal Cortex HormonesAdultAntihypertensive AgentsCesarean SectionDiagnosis, DifferentialDrug Therapy, CombinationFacial ParalysisFemaleHormone Replacement TherapyHumansHyperplasiaHypothyroidismMagnetic Resonance ImagingPituitary GlandPre-EclampsiaPregnancyAdrenal Cortex HormonesAntihypertensive AgentsThyrotropinThyroxinecranial nervespituitary disorderspregnancythyroid disease

Identifiers

PMID33372016
PMCPMC7771221
OpenAlexW3118166375

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.