Evidence map›Paper›PMID 34933894›Full record

ArticleBMJ case reports2021

Syrinx reduction due to spontaneous spinal cord tear: demonstration on 3 T MRI and review of the literature.

Serena Staglianó, Elena Prodi, Barbara Goeggel Simonetti, Alessandro Cianfoni

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 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
0.2field-weighted citation impact, top 38% 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, 1 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

4 authors at 3 institutions in 1 country.

Serena StaglianóNeuroradiology, Ente Ospedaliero Cantonale, Ospedale Regionale Lugano, Neurocentre of Southern Switzerland, Lugano, Switzerland.
Elena ProdiNeuroradiology, Ente Ospedaliero Cantonale, Ospedale Regionale Lugano, Neurocentre of Southern Switzerland, Lugano, Switzerland.
Barbara Goeggel SimonettiDepartment of Neurology, University Hospital Bern, University of Bern, Bern, Switzerland.
Alessandro CianfoniNeuroradiology, Ente Ospedaliero Cantonale, Ospedale Regionale Lugano, Neurocentre of Southern Switzerland, Lugano, Switzerland alessandro.cianfoni@eoc.ch.
Ospedale regionale di Lugano · CHEnte Ospedaliero Cantonale · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A holocord syringomyelia due to Chiari 1.5 malformation (CM) in a 12-year-old girl was serially imaged with 3 T MRI over 4 years. The serial MRI showed reduction in size of the syrinx, without any surgical intervention or CM improvement, but rather due to spontaneous spinal cord tear. The tear was clearly demonstrated by evidence of flow signal across the tear between syrinx and subarachnoid space at the upper thoracic level. The tear showed spontaneous closure at follow-up. A medullary tear has been described in the adult population as one of the putative causes of spontaneous syringomyelia reduction, but its clear demonstration with modern high-resolution MRI has not been reported in the paediatric population. Moreover, this is the first reported case of syrinx reduction due to spontaneous fissuration in a paediatric patient.

Indexed as

Arnold-Chiari MalformationSyringomyeliaAdultChildFemaleHumansMagnetic Resonance ImagingSpinal CordSubarachnoid Spacecongenital disordersneuroimagingneurosurgeryspinal cord

Identifiers

PMID34933894
PMCPMC8693093
OpenAlexW4200580857

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.