Evidence map›Paper›PMID 34377221›Full record

ArticleRadiology case reports2021

Brainstem stroke: A fatal thromboembolic event after new onset atrial fibrillation during covid-19 infection: A case report and literature review.

Amine Bouchlarhem, Leila Haddar, Siham Nasri, Onci-Es-Saad, Ossema Kallel, Houssam Bkiyar, Nabila Ismaili, Imane Skiker, Brahim Housni

Open access · goldAbstract readCase Reports
In one paragraph

Article in Radiology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. COVID-19 HEART unveiling as atrial fibrillation: pathophysiology, management and future directions for research.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. SARS-CoV-2 infection presenting as rhabdomyolysis: case report and review.The Journal of international medical research · 2021
    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

9 authors at 1 institution in 1 country.

Amine BouchlarhemFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Leila HaddarFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Siham NasriFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Onci-Es-SaadFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Ossema KallelFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Houssam BkiyarFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Nabila IsmailiFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Imane SkikerFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Brahim HousniFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Mohamed I University · MA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease (COVID-19) disease is a serious pandemic that put the world on an exceptional sanitary alert. It is a multifaceted disease, since it can affect the lung, the cardiovascular system and the central nervous system at the same time. A 66-year-old man, diabetic, hypertensive, admitted to the emergency room for medical management of acute dyspnea, diagnosed with COVID-19 infection. The evolution is marked by respiratory distress as well as new onset atrial fibrillation and a severe ischemic stroke of the brainstem. COVID-19 disease is associated with very serious thromboembolic complications of high incidence, and this is explained by the coagulopathy secondary to the alteration of the microcirculation after the hyper-inflammatory state. Ischemic stroke is one of these complications. The occurrence of new onset atrial fibrillation during COVID-19 infection makes the incidence of ischemic stroke very high and the prognosis more severe. The treatment is mainly based on antithrombotic therapy. Thromboembolic complications remain a real problem to manage in COVID-19 patients given the several mechanisms that promote this situation.

Indexed as

ACE, Angiotensin Converting EnzymeBMI, Body Mass IndexBP, Blood PressureBrainstemCoagulopathyCoronavirusCovid-19CRP, C-Reactive ProteinCT, Computed TomographyGCS, Glasgow Coma ScaleHR, Heart RateMechanical ThrombectomyMRI, Magnetic Resonance ImagingNew onset atrial fibrillationNIHSS, National Institutes Of Health Stroke ScaleRF, Respiratory FrequencyRT-PCR, Reverse Transcription Polymerase Chain ReactionStroke

Identifiers

PMID34377221
PMCPMC8343382
OpenAlexW3188331149

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.