Case report: "an unexpected origin of coma in a young adult".

Ranjana Chandrikasing, Sudeshkoemar Ramnarain, Rakesh Bansie, Harvey Yang, Huibert Ponssen, Navin Ramdhani

Open access · goldAbstract read

In one paragraph

Article in International journal of emergency medicine, 2021. 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, top 79% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

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

6 authors at 2 institutions in 2 countries.

Ranjana ChandrikasingIntensive Care at Academic Hospital Paramaribo, Paramaribo, Suriname.

Sudeshkoemar RamnarainIntensive Care at Academic Hospital Paramaribo, Paramaribo, Suriname. ramsud225@gmail.com.

Rakesh BansieInternal Medicine Department at Academic Hospital Paramaribo, Paramaribo, Suriname.

Harvey YangNeurology Department at Academic Hospital Paramaribo, Paramaribo, Suriname.

Huibert PonssenIntensive Care at Academic Hospital Paramaribo, Paramaribo, Suriname.

Navin RamdhaniIntensive Care Department at Academic Hospital Paramaribo, Paramaribo, Suriname.

Academic Hospital Paramaribo · SRAlbert Schweitzer Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a peculiar case of acute non-traumatic coma due to neuromuscular hypoventilation syndrome caused by a non-traumatic spinal cord injury (NTSCI). A 21-year-old patient presented to the emergency room complaining of sudden onset weakness in his lower limbs and shortness of breath. While in the ER, he briefly became comatose and labs revealed an acute respiratory acidosis. Detailed neurologic examination ultimately revealed upper motor neuron signs and quadriplegia. He was ultimately diagnosed with a non-traumatic spinal cord injury, in particular, a cervical transverse myelitis which had caused acute diaphragmatic weakness. Although a very rare cause of coma, emergency medicine physicians need to be aware of transverse myelitis, a disorder that may result in rapidly progressive neurologic decline and is treated with immunomodulation.

Indexed as

Carbon dioxide narcosisComaLongitudinally extensive transverse myelitisNon-traumatic quadriplegia

Identifiers

PMID34837945

DOI10.1186/s12245-021-00390-5

PMCPMC8903714

OpenAlexW3215486081

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.