Evidence map›Paper›PMID 34570944›Full record

ArticleEuropean journal of neurology2022

Vessel wall magnetic resonance imaging in COVID-19-associated cryptogenic ischemic stroke.

Federico Mazzacane, Antonio Zito, Serena Magno, Alessandra Persico, Valentina Mazzoleni, Carlo Asteggiano, Elisa Rognone, Anna Pichiecchio, Alessandro Padovani, Anna Cavallini and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Federico MazzacaneDepartment of Emergency Neurology and Stroke Unit, IRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0002-2224-8002
Antonio ZitoDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.ORCID 0000-0001-8720-1742
Serena MagnoDepartment of Emergency Neurology and Stroke Unit, IRCCS Mondino Foundation, Pavia, Italy.
Alessandra PersicoDepartment of Emergency Neurology and Stroke Unit, IRCCS Mondino Foundation, Pavia, Italy.
Valentina MazzoleniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Carlo AsteggianoDepartment of Neuroradiology, IRCCS Mondino Foundation, Pavia, Italy.
Elisa RognoneDepartment of Neuroradiology, IRCCS Mondino Foundation, Pavia, Italy.
Anna PichiecchioDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Alessandro PadovaniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Anna CavalliniDepartment of Emergency Neurology and Stroke Unit, IRCCS Mondino Foundation, Pavia, Italy.
Andrea MorottiNeurology Unit, Department of Neurological Sciences and Vision, ASST- Spedali Civili, Brescia, Italy.ORCID 0000-0002-6558-1155
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Pavia · ITFondazione Istituto Neurologico Nazionale Casimiro Mondino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAcute ischemic stroke (AIS) is a common complication of coronavirus disease 2019 (COVID-19), but the underlying biological mechanisms remain unclear. We aimed to describe the prevalence of vessel wall alterations in patients with cryptogenic stroke through vessel wall magnetic resonance imaging (vwMRI).

methodsAll consecutive patients admitted for AIS and COVID-19 to a single neuro-COVID unit from 10 November to 31 December 2020 were prospectively evaluated and underwent a complete etiologic workup for AIS. In patients with cryptogenic stroke, the diagnostic workup was completed with vwMRI study.

resultsAfter the exclusion of four patients ineligible for MRI, a total of 10 patients were included (median age = 78 years, 50% males), of whom four (40%) had a cryptogenic stroke. vwMRI showed vascular changes consistent with inflammation of intracranial artery walls in three subjects (75%). Two patients had focal and one multifocal involvement.

conclusionsvwMRI detected signs of vascular inflammation in the majority of patients with cryptogenic AIS, leading to an etiologic definition with potential therapeutical implications. Our findings are best interpreted as hypothesis-generating, suggesting the possibility of expanding the diagnostic workup of cryptogenic stroke with vessel wall imaging.

Indexed as

Brain IschemiaCOVID-19Ischemic StrokeStrokeAgedFemaleHumansMagnetic Resonance ImagingMaleSARS-CoV-2cerebrovascularSARS-CoV-2undetermined strokevasculitisvwMRI

Identifiers

PMID34570944
PMCPMC8653119
OpenAlexW3202808337

What OpenQuestion holds

Textmetadata
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.