Evidence map›Paper›PMID 35854933›Full record

ArticleJournal of neurosurgery. Case lessons2021

Functional neurological disorders in patients undergoing spinal surgery: illustrative case.

Ketan Yerneni, Harsh Wadhwa, Parastou Fatemi, Corinna C Zygourakis

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 99% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 3 institutions in 1 country.

Ketan YerneniDepartment of Neurological Surgery, Stanford University, Palo Alto, California.
Harsh WadhwaDepartment of Neurological Surgery, Stanford University, Palo Alto, California.
Parastou FatemiDepartment of Neurological Surgery, Stanford University, Palo Alto, California.
Corinna C ZygourakisDepartment of Neurological Surgery, Stanford University, Palo Alto, California.
Stanford University · USNeurological Surgery · USPalo Alto University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background"Conversion disorder" refers to bodily dysfunction characterized by either sensory or motor neurological symptoms that are unexplainable by a medical condition. Given their somatosensory context, such disorders often require extensive medical evaluation, and the diagnosis can only be made after structural disease is excluded or fails to account for the severity and/or spectrum of the patient's deficits. OBSERVATIONS: The authors briefly review functional psychiatric disorders and discuss the comprehensive workup of a patient with a functional postoperative neurological deficit, drawing from their recent experience with a patient who presented with conversion disorder immediately after undergoing anterior cervical discectomy and fusion. LESSONS: Conversion disorder has been found to be associated with bodily stress, requiring surgeons to be aware of this condition in the postoperative setting. This is especially true in neurosurgery, given the overlap of true neurological pathology, postoperative complications, and manifestations of conversion disorder. Although accurately diagnosing and managing patients with conversion disorder remains challenging, an understanding of the multifactorial nature of its etiology can help clinicians develop a methodical approach to this condition.

Indexed as

ACDF = anterior cervical discectomy and fusionconversion disorderDSM-5 = Diagnostic and Statistical Manual of Mental Disorders, Fifth EditionEEG = electroencephalographyFNSD = functional neurological symptom disorderfunctional neurological disorderICU = intensive care unitMRI = magnetic resonance imagingspine surgerySSEP = somatosensory evoked potential

Identifiers

PMID35854933
PMCPMC9241316
OpenAlexW3128039099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.