Evidence map›Paper›PMID 33766961›Full record

ArticleBMJ case reports2021

Brachial plexopathy as a complication of COVID-19.

Catherine Young Han, Andrew M Tarr, Alexandra N Gewirtz, Ulrike W Kaunzner, Paula Roy-Burman, Todd S Cutler, Daniel Jl MacGowan

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. 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

7 authors.

Catherine Young HanMedicine, Weill Cornell Medical College, New York City, New York, USA cyh4001@med.cornell.edu.
Andrew M TarrNeurology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Alexandra N GewirtzNeurology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
Ulrike W KaunznerNeurology, Weill Cornell Medicine, New York City, New York, USA.
Paula Roy-BurmanMedicine, Weill Cornell Medical College, New York City, New York, USA.
Todd S CutlerMedicine, Weill Cornell Medical College, New York City, New York, USA.
Daniel Jl MacGowanNeurology, Weill Cornell Medicine, New York City, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 affects a wide spectrum of organ systems. We report a 52-year-old man with hypertension and newly diagnosed diabetes mellitus who presented with hypoxic respiratory failure due to COVID-19 and developed severe brachial plexopathy. He was not treated with prone positioning respiratory therapy. Associated with the flaccid, painfully numb left upper extremity was a livedoid, purpuric rash on his left hand and forearm consistent with COVID-19-induced microangiopathy. Neuroimaging and electrophysiological data were consistent with near diffuse left brachial plexitis with selective sparing of axillary, suprascapular and pectoral fascicles. Given his microangiopathic rash, elevated D-dimers and paucifascicular plexopathy, we postulate a patchy microvascular thrombotic plexopathy. Providers should be aware of this significant and potentially under-recognised neurologic complication of COVID-19.

Indexed as

ArmBrachial Plexus NeuropathiesCOVID-19Diabetes MellitusExanthemaFibrin Fibrinogen Degradation ProductsHumansHypertensionMagnetic Resonance ImagingMaleMiddle AgedNeuralgiaPatient PositioningRespiratory InsufficiencySARS-CoV-2Fibrin Fibrinogen Degradation Productsfibrin fragment Dinfectionsneurological injuryneuromuscular diseasepain (neurology)peripheral nerve disease

Identifiers

PMID33766961
PMCPMC8006770

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.