Evidence map›Paper›PMID 34433709›Full record

ArticleInternal medicine (Tokyo, Japan)2022

A Patient with a Unilateral Insular Lesion Showing Bilaterally Reduced Perception of Noxious Stimulation.

Chihiro Nogami, Keisuke Hanada, Kayoko Yokoi, Tatsuya Nakanowatari, Kosuke Tasa, Kazutaka Sakamoto, Yuki Saito, Sunao Takemura, Kazumi Hirayama

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Chihiro NogamiDepartment of Rehabilitation, Yamagata Saisei Hospital, Japan.
Keisuke HanadaDepartment of Rehabilitation, Suishokai Murata Hospital, Japan.
Kayoko YokoiDepartment of Occupational Therapy, Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Japan.
Tatsuya NakanowatariDepartment of Physical Therapy, Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Japan.
Kosuke TasaDepartment of Rehabilitation, Yamagata Saisei Hospital, Japan.
Kazutaka SakamotoDepartment of Psychiatry, Aizu Medical Center, Fukushima Medical University, Japan.
Yuki SaitoDepartment of Neurosurgery, Yamagata Saisei Hospital, Japan.
Sunao TakemuraDepartment of Neurosurgery, Yamagata Saisei Hospital, Japan.
Kazumi HirayamaDepartment of Occupational Therapy, Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

No study has reported a unilateral localized cerebral lesion of the posterior insula bilaterally reducing noxious stimuli perception. A 57-year-old man with an infarct involving the right posterior insula presented with reduced somatosensory response in the upper and lower left extremities. Furthermore, there was a reduced response to noxious stimulation in the right upper and lower limbs. We noted reductions in pain, noxious heat and cold perceptions, and sensitivity to increasing temperature. Other somatic sensations, including non-noxious temperatures, remained intact in the right upper and lower extremities. These findings in our patient with a unilateral insular lesion indicated a bilaterally reduced perception of noxious stimulation.

Indexed as

Brain MappingPainCold TemperatureHot TemperatureHumansMaleMiddle AgedPerceptionbilateral deficitinfarctioninsulanoxious stimulus

Identifiers

PMID34433709
PMCPMC8907774

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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.