Evidence map›Paper›PMID 34468799›Full record

ArticleJournal of neurology2022

Thyroid dysfunction in cerebral venous thrombosis: a retrospective cohort study.

Simon Fandler-Höfler, Stefan Pilz, Marion Ertler, Melanie Haidegger, Markus Kneihsl, Gerit Wünsch, Thomas Gary, Christian Enzinger, Thomas Gattringer

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 14 citations in OpenAlex.

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  12. Thyroid Dysfunction in Patients with and Without Venous Thromboembolism: a Case Control Study.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
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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

9 authors at 1 institution in 1 country.

Simon Fandler-HöflerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036, Graz, Austria.ORCID http://orcid.org/0000-0001-9043-0378
Stefan PilzDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Marion ErtlerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036, Graz, Austria.
Melanie HaideggerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036, Graz, Austria.
Markus KneihslDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036, Graz, Austria.
Gerit WünschInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Thomas GaryDivision of Angiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Christian EnzingerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036, Graz, Austria.
Thomas GattringerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036, Graz, Austria. thomas.gattringer@medunigraz.at.ORCID http://orcid.org/0000-0002-6065-6576
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral venous thrombosis (CVT) is a multifactorial disease with a variety of related conditions and risk factors. Thyroid dysfunction-especially hyperthyroidism-has been linked to CVT, but this is mainly based on case reports ranging back to 1913, while systematic investigations addressing this issue are lacking. Therefore, we investigated the frequency and clinical characteristics of thyroid dysfunction in a large single-center cohort of CVT patients.

methodsWe retrospectively identified all consecutive patients with aseptic CVT treated at our center between 2006 and 2020. Clinical information was extracted from our electronic medical documentation system. Thyroid-stimulating hormone (TSH) had been routinely measured at admission, free thyroid hormones and thyroid autoantibodies were analyzed whenever available.

resultsOf 120 patients with imaging-confirmed CVT, our main analysis included 107 patients (mean age 42 ± 16 years, 74% female) in whom TSH measurements were available. Nineteen patients (17.8%, 95% confidence interval 10-25%) had thyroid dysfunction. Two had newly diagnosed hyperthyroidism (1.9%, 95% confidence interval 0-4%) caused by Graves' disease, but without typical symptoms for this condition. Seventeen patients (15.9%, 95% confidence interval 9-23%) had hypothyroidism (12 previously diagnosed with ongoing thyroid hormone replacement therapy; 5 with newly diagnosed subclinical hypothyroidism). Clinical CVT characteristics were similar comparing patients with versus without thyroid dysfunction.

conclusionWe observed a remarkably high prevalence of thyroid dysfunction in CVT patients. Whether this finding reflects a causal relationship warrants further studies. Despite that, the frequent coexistence of both diseases argues for TSH screening in CVT patients.

Indexed as

HypothyroidismIntracranial ThrombosisVenous ThrombosisAdultFemaleHumansMaleMiddle AgedRetrospective StudiesCerebral venous thrombosisHyperthyroidismStrokeThyroid diseases

Identifiers

PMID34468799
PMCPMC8940832
OpenAlexW3197592930

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.