Evidence map›Paper›PMID 33392649›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021

Delayed diagnosis of intracranial aneurysm in pediatrics: the risk of misdiagnosis-a case report.

Zeferino Demartini, Guilherme Dos Santos de Alencar, Adriane Cardoso-Demartini, Sergio Luiz Sprengel, Simone Cristina Zanine, Luis Alencar Biurrum Borba

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Pediatric intracranial aneurysms in a Southern Brazilian population.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Observational
  4. 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

6 authors at 2 institutions in 1 country.

Zeferino DemartiniDepartment of Neurosurgery, Hospital de Clínicas, Federal University of Paraná, 8th floor. Street General Carneiro, 181, Curitiba, PR, 80060-900, Brazil. demartiniz@gmail.com.ORCID 0000-0002-0683-5418
Guilherme Dos Santos de AlencarFederal University of Parana, Curitiba, PR, Brazil.
Adriane Cardoso-DemartiniDepartment of Pediatrics, Hospital de Clínicas, Federal University of Paraná, Curitiba, PR, Brazil.
Sergio Luiz SprengelDepartment of Neurosurgery, Hospital de Clínicas, Federal University of Paraná, 8th floor. Street General Carneiro, 181, Curitiba, PR, 80060-900, Brazil.
Simone Cristina ZanineDepartment of Neurosurgery, Hospital de Clínicas, Federal University of Paraná, 8th floor. Street General Carneiro, 181, Curitiba, PR, 80060-900, Brazil.
Luis Alencar Biurrum BorbaDepartment of Neurosurgery, Hospital de Clínicas, Federal University of Paraná, 8th floor. Street General Carneiro, 181, Curitiba, PR, 80060-900, Brazil.
Hospital de Clínicas Universidade Federal do Paraná · BRUniversidade Federal do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAneurysms in the pediatric population are uncommon, requiring a high index of suspicion for diagnosis. We report a case of a child with head trauma and delayed diagnosed cerebral aneurysm.

methodsA 2-year-old girl was brought to the emergency room with seizures. Head imaging showed acute intraventricular hemorrhage, hydrocephalus, and paraclinoid aneurysm of the right internal carotid artery. She had been hospitalized elsewhere 1 month prior for traumatic brain injury after falling to the ground with subarachnoid and intraventricular hemorrhage and good recovery, but without diagnosis of aneurysm.

resultsThe child was treated with aneurysm embolization and ventriculoperitoneal shunt, being discharged asymptomatic.

conclusionMost primary intraventricular hemorrhage in pediatric population has identifiable etiology. A high rate of clinical suspicion, associated with a low threshold for vascular neuroimaging studies for children with spontaneous or atypical intracranial hemorrhage allow accurate diagnosis, appropriate treatment, and improved outcome.

Indexed as

Aneurysm, RupturedIntracranial AneurysmPediatricsSubarachnoid HemorrhageCarotid Artery, InternalCerebral AngiographyChildChild, PreschoolDelayed DiagnosisDiagnostic ErrorsFemaleHumansCase reportChildIntracranial aneurysmIntracranial hemorrhageTraumatic brain injuries

Identifiers

PMID33392649
OpenAlexW3118790362

What OpenQuestion holds

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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.