Evidence map›Paper›PMID 35364593›Full record

ArticleJournal of neurosurgery. Spine2022

Cerebrospinal fluid leak in epidural venous malformations and blue rubber bleb nevus syndrome.

Mohammed H Alomari, Mohamed M Shahin, Steven J Fishman, Cindy L Kerr, Edward R Smith, Whitney Eng, Melisa Ruiz-Gutierrez, Denise M Adams, Darren B Orbach, Gulraiz Chaudry and 3 more

Abstract read
In one paragraph

Article in Journal of neurosurgery. Spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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, 5 citations in OpenAlex.

  1. Article
  2. Azygos Vein Stenosis in Frontotemporal Dementia Sagging Brain Syndrome.AJNR. American journal of neuroradiology · 2025
    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

13 authors at 3 institutions in 1 country.

Mohammed H Alomari1Division of Vascular and Interventional Radiology.
Mohamed M Shahin1Division of Vascular and Interventional Radiology.
Steven J Fishman2Department of Surgery.
Cindy L Kerr1Division of Vascular and Interventional Radiology.
Edward R Smith3Department of Neurosurgery, and.
Whitney Eng4Division of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Melisa Ruiz-Gutierrez4Division of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Denise M Adams4Division of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Darren B Orbach1Division of Vascular and Interventional Radiology.
Gulraiz Chaudry1Division of Vascular and Interventional Radiology.
Raja Shaikh1Division of Vascular and Interventional Radiology.
Rush Chewning1Division of Vascular and Interventional Radiology.
Ahmad I Alomari1Division of Vascular and Interventional Radiology.
Society of Interventional Radiology · USBoston Children's Hospital · USHarvard University · US

Funding

PATHOPHYSIOLOGY OF HUMAN BLOOD CELLST32HL007574 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI Daniel Evan Bauer · 1985 to 2026
$18.4M
NHLBI NIH HHS T32 HL007574
6 · The paper itself

Abstract

objectiveClinical manifestations of blue rubber bleb nevus syndrome (BRBNS) and multifocal venous malformation (MVM) vary depending on the location of the lesions. The aim of this study was to assess the risk of developing CSF leaks in patients with epidural venous malformations (VMs).

methodsThe authors retrospectively investigated the relationship between the development of a CSF leak and the presence of epidural VMs.

resultsNine patients (5 females) had epidural VMs and presentation that was confirmatory or suggestive of a CSF leak: 4 had BRBNS, 4 had MVMs, and 1 had a solitary VM. Of 66 patients with BRBNS, clinical and imaging features of CSF leak were noted in 3 (4.5%) with epidural VMs at the age of 11-44 years. A fourth patient had suggestive symptoms without imaging confirmation. An epidural blood patch was ineffective in 2 patients, both with more than one source of leakage, requiring surgical repair or decompression. Symptomatic downward displacement of the cerebellar tonsils was noted in 3 patients with MVM and 1 with a solitary VM; 3 required surgical decompression.

conclusionsThese findings suggest an increased risk of CSF leak in patients with epidural VM, including BRBNS, MVMs, and solitary VMs. Awareness of the association between epidural VM and CSF leakage may facilitate earlier diagnosis and therapeutic intervention.

Indexed as

blue rubber bleb nevus syndromecongenitalCSFspontaneous intracranial hypotensionvenous malformation

Identifiers

PMID35364593
PMCPMC13240791
OpenAlexW4225929812

What OpenQuestion holds

Textmetadata
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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.