Evidence map›Paper›PMID 33659196›Full record

ReviewJournal of epilepsy research2020

Risk of Seizures after Endovascular Management of Ruptured Intracranial Aneurysms: A Systematic Review and Meta-analysis.

Ezequiel García-Ballestas, William A Florez-Perdomo, Robert M Starke, Andrei Fernandes Joaquim, Amit Agrawal, Ravish Rajiv Keni, Luis-Rafael Moscote-Salazar

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of epilepsy research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 6 institutions in 4 countries.

Ezequiel García-BallestasLatin American Council of Neurocritical Care, Cartagena, Colombia.
William A Florez-PerdomoLatin American Council of Neurocritical Care, Cartagena, Colombia.
Robert M StarkeDepartment of Neurosurgery & Neuroradiology, University of Miami & Jackson Memorial Hospital, Miami, FL, USA.
Andrei Fernandes JoaquimDepartment of Neurosurgery, University of Campinas (UNICAMP), São Paulo, Brazil.
Amit AgrawalDepartment of Neurosurgery, All India Institute of Medical Sciences, Saket Nagar, Nellore, India.
Ravish Rajiv KeniDepartment of Neurology, Narayana Medical College, Nellore, India.
Luis-Rafael Moscote-SalazarLatin American Council of Neurocritical Care, Cartagena, Colombia.
Narayana Dental College and Hospital · INAll India Institute of Medical Sciences · INJackson Memorial Hospital · USSouth Colombian University · COUniversidade Estadual de Campinas (UNICAMP) · BRUniversity of Cartagena · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seizures in aneurysmal subarachnoid haemorrhage (aSAH) have been described secondary to SAH, changes in cortical function, vasospasm and as a result of treatment effects. Seizures are one of the important clinical determinants in neurological outcome of aSAH. Various studies support the notion of less risk of future seizures in endovascular treatment as compared to the microsurgical clipping, yet there is no conclusive evidence in favour or against the seizure occurrence in aSAH patients after endovascular treatment as compared to the microsurgical treatment. To carry out a systematic review and meta-analysis of the risk of seizures after endovascular management (coiling) of ruptured intracranial aneurysms. A literature search was performed in electronic database of PubMed, MEDLINE, Embase, and Scopus from inception to February 2020, using the terms Seizure, Intracranial aneurysms, embolization, with no constraints applied. Data were pooled using a random-effect model, results were abstracted as odds ratios (ORs) and 95% confidence interval (CI), and heterogeneity was reported as Chi-square. Five studies involving 3,077 patients were included in the meta-analysis. After endovascular management of aSAH, seizure risk was increased by a worse clinical severity (World Federation of Neurosurgery scale or Hunt and Hess) (OR, 3.34; 95% CI, 2.69-4.16;

Indexed as

Endovascular proceduresIntracranial aneurysmSeizures

Identifiers

PMID33659196
PMCPMC7903045
OpenAlexW3126591639

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.