Evidence map›Paper›PMID 35242092›Full record

ArticleFrontiers in neurology2021

New Remote Cerebral Microbleeds on T2

Bartosz Jabłoński, Anna Gójska-Grymajło, Daria Ossowska, Edyta Szurowska, Adam Wyszomirski, Bartłomiej Rojek, Bartosz Karaszewski

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 2 institutions in 1 country.

Bartosz JabłońskiDepartment of Adult Neurology, University Clinical Center, Medical University of Gdańsk, Gdańsk, Poland.
Anna Gójska-GrymajłoDepartment of Adult Neurology, University Clinical Center, Medical University of Gdańsk, Gdańsk, Poland.
Daria OssowskaDepartment of Adult Neurology, University Clinical Center, Medical University of Gdańsk, Gdańsk, Poland.
Edyta SzurowskaII Department of Radiology, Medical University of Gdańsk, Department of Radiology, University Clinical Centre, Gdańsk, Poland.
Adam WyszomirskiDepartment of Adult Neurology, University Clinical Center, Medical University of Gdańsk, Gdańsk, Poland.
Bartłomiej RojekDepartment of Adult Neurology, University Clinical Center, Medical University of Gdańsk, Gdańsk, Poland.
Bartosz KaraszewskiDepartment of Adult Neurology, University Clinical Center, Medical University of Gdańsk, Gdańsk, Poland.
Gdańsk Medical University · PLUniversity Clinical Centre · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe main and well-defined complication of intravenous administration of recombinant tissue plasminogen activator (tPA) in patients with acute ischemic stroke (AIS) is symptomatic intracranial hemorrhage (sICH). However, rtPA might also be connected with the formation of cerebral microbleeds (CMBs), located remotely from the ischemic lesions, that may remain clinically silent. This association might be important because the load of CMBs has been associated with cognitive impairment. We investigated whether administration of rtPA in AIS results in the appearance of new CMBs and if the initial load of CMBs is associated with hemorrhagic transformation.

methodsA total of fifty-nine consecutive patients with AIS treated with rtPA underwent MRI including T2

resultsA total of forty-nine patients were included for the final analysis. On initial T2

conclusionIn this study, new CMBs were found in nearly 30% of patients with AIS on the 7-9 days after rtPA treatment. Baseline CMBs correlated with a higher risk of new CMBs appearing after the rtPA treatment, independently of other factors. At the same time, in our sample, baseline CMBs did not correlate with an increased risk of hemorrhagic transformation. Since the associations between the CMBs load and cognitive impairment have already been proved, further studies are warranted to investigate possible associations between the thrombolytic treatment of patients with AIS, mainly those with baseline CMBs, and the risk of earlier cognitive decline.

Indexed as

acute ischemic strokecerebral microbleedshemorrhagic transformationMRIneuroimagingthrombolysis

Identifiers

PMID35242092
PMCPMC8886895
OpenAlexW4213165521

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.