Evidence map›Paper›PMID 33685504›Full record

ArticleJournal of medical case reports2021

Emergent stenting after intravenous thrombolysis for isolated basilar artery dissection in a patient with acute ischemic stroke: a case report.

Toshiaki Goda, Naoki Oyama, Takanori Iwamoto, Hiroki Takai, Shunji Matsubara, Masaaki Uno, Yoshiki Yagita

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2021. 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
0.2field-weighted citation impact, top 46% 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, 2 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

7 authors at 1 institution in 1 country.

Toshiaki GodaDepartment of Stroke Medicine, Kawasaki Medical School, Matsushima, Kurashiki, Okayama, 577701-0192, Japan. to4aki.5da.takaraduka@gmail.com.ORCID http://orcid.org/0000-0003-4648-3485
Naoki OyamaDepartment of Stroke Medicine, Kawasaki Medical School, Matsushima, Kurashiki, Okayama, 577701-0192, Japan.
Takanori IwamotoDepartment of Stroke Medicine, Kawasaki Medical School, Matsushima, Kurashiki, Okayama, 577701-0192, Japan.
Hiroki TakaiDepartment of Neurosurgery, Kawasaki Medical School, Okayama, Japan.
Shunji MatsubaraDepartment of Neurosurgery, Kawasaki Medical School, Okayama, Japan.
Masaaki UnoDepartment of Neurosurgery, Kawasaki Medical School, Okayama, Japan.
Yoshiki YagitaDepartment of Stroke Medicine, Kawasaki Medical School, Matsushima, Kurashiki, Okayama, 577701-0192, Japan.
Kawasaki Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIsolated basilar artery dissection (IBAD) is a rare but important cause of ischemic stroke. Anti-thrombotic therapy is often used to treat IBAD-related ischemic stroke, but selected cases might need more aggressive treatment. There is no previous report of emergent stenting for IBAD-related ischemic stroke after intravenous thrombolysis. CASE PRESENTATION: A 53-year-old Japanese woman was admitted to our hospital with disturbance of consciousness, right hemiplegia, severe dysarthria, and total gaze paralysis. Brain magnetic resonance imaging revealed no ischemic lesion, but magnetic resonance angiography showed stenosis in the basilar artery. After initiation of intravenous thrombolysis, her neurological symptoms dramatically improved. Five hours later, however, her symptoms deteriorated again. Cerebral angiography showed IBAD. Emergent stenting was successfully performed. At 90 days after stroke onset, she had no significant disability, with a modified Rankin scale score of 1.

conclusionsEmergent stenting can be an effective treatment for patients with IBAD-related ischemic stroke who are resistant to IV-rtPA.

Indexed as

Brain IschemiaIschemic StrokeStrokeBasilar ArteryDissectionFemaleHumansMiddle AgedThrombolytic TherapyTreatment OutcomeBasilar artery dissectionEmergent stentingIntravenous thrombolysisIschemic stroke

Identifiers

PMID33685504
PMCPMC7941979
OpenAlexW3133801693

What OpenQuestion holds

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LicenceCC BY
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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.