Evidence map›Paper›PMID 34336644›Full record

ArticleFrontiers in oncology2021

Atorvastatin Plus Low-Dose Dexamethasone May Be Effective for Leukemia-Related Chronic Subdural Hematoma but Not for Leukemia Encephalopathy: A Report of Three Cases.

Jiangyuan Yuan, Ying Li, Xuanhui Liu, Meng Nie, Weiwei Jiang, Yibing Fan, Tangtang Xiang, Hanhua Wang, Wei Quan, Chuang Gao and 6 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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, 5 citations in OpenAlex.

  1. Review
  2. Review
  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

16 authors at 2 institutions in 1 country.

Jiangyuan YuanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Ying LiDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Xuanhui LiuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Meng NieDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Weiwei JiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yibing FanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Tangtang XiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Hanhua WangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Wei QuanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Chuang GaoDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Jinghao HuangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Shuo AnDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yongxin RuDepartment of Clinical Laboratory, Hospital of Hematology, Chinese Academy of Medical Sciences, Tianjin, China.
Qiufan ZhouDepartment of Hematology, Tianjin Medical University General Hospital, Tianjin, China.
Jianning ZhangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Rongcai JiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Tianjin Medical University General Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We are not aware of any reports regarding conservative treatment for leukemia-related chronic subdural hematoma (CSDH). We report our experience with 3 men who were admitted with subdural masses and abnormal leukocyte counts. In two patients, leukemia and CSDH were confirmed on the basis of medical records, mild head trauma, and neuroimaging features. Both patients experienced reduced CSDH and neurological symptoms after receiving atorvastatin (20 mg/day) plus low-dose dexamethasone. However, this combined conservative treatment was ineffective in the third patient, who was diagnosed as having leukemia and showed an increased hematoma volume after two weeks of therapy. Magnetic resonance imaging findings suggested dural metastasis, which prompted a switch from statin-based conservative treatment to chemotherapy. Complete remission of the leukemia and resolution of the subdural mass were observed after chemotherapy, which supported a diagnosis of leukemia encephalopathy. The 5-month follow-ups did not reveal CSDH relapse in all 3 cases. Thus, atorvastatin-based conservative treatment may be effective for leukemia-related CSDH but not for leukemia encephalopathy.

Indexed as

atorvastatinchronic subdural hematomadexamethasoneleukemialeukemia encephalopathy

Identifiers

PMID34336644
PMCPMC8320332
OpenAlexW3184149772

What OpenQuestion holds

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Registered trials

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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.