Evidence map›Paper›PMID 35535097›Full record

ArticleJournal of clinical and experimental hepatology

Tacrolimus-induced Central Pontine Myelinolysis in a Pediatric Liver Transplant Recipient.

Kinisha Patel, Jagadeesh Menon, Naresh Shanmugam, Srinivasan Kalyanasundaram, Mohamed Rela

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 31% 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

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

  1. Tacrolimus-associated neurotoxicity isolated to the brainstem: two illustrative cases and a systematic review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
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

5 authors at 1 institution in 1 country.

Kinisha PatelDepartment of Pediatric Gastroenterology & Hepatology, Dr. Rela Institute & Medical Centre, Bharat Institute of Higher Education and Research, Chennai, India.
Jagadeesh MenonDepartment of Pediatric Gastroenterology & Hepatology, Dr. Rela Institute & Medical Centre, Bharat Institute of Higher Education and Research, Chennai, India.
Naresh ShanmugamDepartment of Pediatric Gastroenterology & Hepatology, Dr. Rela Institute & Medical Centre, Bharat Institute of Higher Education and Research, Chennai, India.
Srinivasan KalyanasundaramDepartment of Radiology, Dr. Rela Institute & Medical Centre, Bharat Institute of Higher Education and Research, Chennai, India.
Mohamed RelaDepartment of Hepatobiliary Surgery and Liver Transplantation, Dr. Rela Institute & Medical Centre, Bharat Institute of Higher Education and Research, Chennai, India.
Bharath University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central pontine myelinolysis (CPM) is a rare neurological complication reported in liver transplant recipients. A 16-year-old boy with Wilson disease underwent a living donor liver transplant for acute-on-chronic liver failure. On postoperative day 7, he was noted to have diplopia, dysphagia, and bilateral lower limb weakness with wide base gait with gradual progression to akinetic mutism. Magnetic resonance imaging (MRI) brain was performed which was suggestive of CPM, and it was attributed to tacrolimus. We stopped tacrolimus, and he was started on ciclosporin. His neurological symptoms started improving after 72 hours and he had a complete clinical recovery by 6 weeks. Repeat MRI brain at 16 weeks after liver transplantation showed complete radiological resolution of the pontine lesion.

Identifiers

PMID35535097
PMCPMC9077162
OpenAlexW3183957066

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.