Evidence map›Paper›PMID 35855217›Full record

ArticleJournal of neurosurgery. Case lessons2021

Facial palsy after temporal lobectomy for epilepsy: illustrative cases.

Émile Lemoine, Sami Obaid, Laurent Létourneau-Guillon, Alain Bouthillier

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% 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. 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 1 institution in 1 country.

Émile LemoineDivisions of Neurosurgery, University of Montreal Health Center (CHUM), Montreal, Quebec, Canada.
Sami ObaidDivisions of Neurosurgery, University of Montreal Health Center (CHUM), Montreal, Quebec, Canada.
Laurent Létourneau-GuillonDivisions of Radiology,, University of Montreal Health Center (CHUM), Montreal, Quebec, Canada.
Alain BouthillierDivisions of Neurosurgery, University of Montreal Health Center (CHUM), Montreal, Quebec, Canada.
Université de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFacial palsy is a rare, unexpected complication of temporal lobectomy (TL) for intractable epilepsy. Even without direct manipulation, the facial nerve fibers may be at risk of injury during supratentorial surgery, including TL. OBSERVATIONS: The authors presented two cases of facial palsy after unremarkable TL. In the first case, the palsy appeared in a delayed fashion and completely resolved within weeks. In the second case, facial nerve dysfunction was observed immediately after surgery, followed by progressive recovery over 2 years. The second patient had a dehiscence of the roof of the petrous bone overlying the geniculate ganglion, which put the facial nerve at risk of bipolar coagulation thermal injury. LESSONS: Two major mechanisms could explain the loss of facial nerve function after TL: surgery-related indirect inflammation of the nerve resulting in herpesvirus reactivation and delayed dysfunction (Bell's palsy) or indirect thermal damage to the geniculate ganglion through a dehiscent petrous roof.

Indexed as

Bell's palsyCT = computed tomographydelayed facial palsyepilepsy surgeryGSPN = greater superficial petrosal nerveHB = House-BrackmannMRI = magnetic resonance imagingtemporal lobectomyTL = temporal lobectomyviral reactivation

Identifiers

PMID35855217
PMCPMC9245785
OpenAlexW3161740300

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.