Evidence map›Paper›PMID 34506369›Full record

ArticleJNMA; journal of the Nepal Medical Association2020

Anatomical Variations in Circle of Willis in Patients Undergoing CT Cerebral Angiography in a Tertiary Hospital in Nepal: A Descriptive Cross-sectional Study.

Prajwal Dhakal, Prakash Kayastha, Sharma Paudel, Sundar Suwal, Mohan Raj Sharma, Ram Kumar Ghimire

Open access · diamondAbstract read
In one paragraph

Article in JNMA; journal of the Nepal Medical Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Anatomical study of circle of Willis on fresh autopsied brains. A study of a Romanian population.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

6 authors at 2 institutions in 1 country.

Prajwal DhakalDepartment of Radiology and Imaging, HAMS hospital, Kathmandu, Nepal.
Prakash KayasthaDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Sharma PaudelDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Sundar SuwalDepartment of Radiology and Imaging, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Mohan Raj SharmaDepartment of Neurosurgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Ram Kumar GhimireDepartment of Radiology, Nepal Mediciti Hospital, Lalitpur, Nepal.
Tribhuvan University Teaching Hospital · NPCivil Service Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVariation in Circle of Willis is a commonly encountered entity in patients undergoing computed tomography angiography, identification of which is crucial in the management of patients with vascular pathologies. The aim of the study was to find out the anatomical variations in the Circle of Willis in patients undergoing Computed Tomography cerebral angiography in a tertiary hospital in Nepal.

methodsThis is a descriptive cross-sectional study involving 95 patients using convenient sampling techniques who were sent to the Department of Radiology and Imaging, Tribhuvan University Teaching hospital, for further evaluation of suspected vascular pathologies in the brain from April 2017 to September 2017. Ethical approval was taken from the Institutional Review Committee of the Institute of Medicine with reference number 326 (6-11-E). CT angiographic images of these patients were evaluated for the presence of variations in Circle of Willis, aneurysms, and other vascular pathologies. Data were analyzed using SPSS.

resultsAmong 95 subjects included in the study, the anatomical variations in the arteries of Circle of Willis was seen in 52 (54.7%) patients, hypoplastic posterior communicating artery being the most common variation 33 (34.7%). The aneurysm was seen in 22 (23.2%) of cases.

conclusionsCT Angiography is a commonly performed imaging modality for suspected cases of cerebral aneurysms and various other vascular pathologies. Multidetector computed tomography can effectively detect variations in arteries of Circle of Willis, recognition of which is crucial in operative management of vascular pathologies.

Indexed as

Circle of WillisComputed Tomography AngiographyCerebral AngiographyCross-Sectional StudiesHumansNepalTertiary Care CentersTomography, X-Ray Computed

Identifiers

PMID34506369
PMCPMC8028512
OpenAlexW3115591842

What OpenQuestion holds

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LicenceCC BY
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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.