Evidence map›Paper›PMID 36522159›Full record

ArticleNeurology2023

Clinical Reasoning: A 26-Year-Old Woman With Recurrent Pain, Weakness, and Atrophy in Bilateral Upper Limbs During Pregnancy and Puerperium.

Tian-Fang Zeng, Xin Ding, Dan Yang, Chang-Chuan Wu, Dan-Dan Xie, Wen-Min Zhang

Abstract readCase Reports
In one paragraph

Article in Neurology, 2023. 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
–field-weighted citation impact
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. 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

6 authors.

Tian-Fang ZengFrom the Department of Neurology (T.-f.Z., X.D., D.Y., C.-C.W., D.-D.X.), Cheng Du Second People's Hospital; and Chengdu Medical College (W.-M.Z.), China.
Xin DingFrom the Department of Neurology (T.-f.Z., X.D., D.Y., C.-C.W., D.-D.X.), Cheng Du Second People's Hospital; and Chengdu Medical College (W.-M.Z.), China. dingxin105@163.com.
Dan YangFrom the Department of Neurology (T.-f.Z., X.D., D.Y., C.-C.W., D.-D.X.), Cheng Du Second People's Hospital; and Chengdu Medical College (W.-M.Z.), China.
Chang-Chuan WuFrom the Department of Neurology (T.-f.Z., X.D., D.Y., C.-C.W., D.-D.X.), Cheng Du Second People's Hospital; and Chengdu Medical College (W.-M.Z.), China.
Dan-Dan XieFrom the Department of Neurology (T.-f.Z., X.D., D.Y., C.-C.W., D.-D.X.), Cheng Du Second People's Hospital; and Chengdu Medical College (W.-M.Z.), China.
Wen-Min ZhangFrom the Department of Neurology (T.-f.Z., X.D., D.Y., C.-C.W., D.-D.X.), Cheng Du Second People's Hospital; and Chengdu Medical College (W.-M.Z.), China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 26-year-old woman with recurrent episodes of severe pain, weakness, and atrophy in her bilateral upper extremities during pregnancy and puerperium. She reported 2 similar episodes at ages 5 and 10 years, after which she fully recovered. On examination, we observed significant atrophy in her bilateral upper extremity muscles with decreased strength. Needle electromyography (EMG) revealed neurogenic damage in her bilateral upper limbs. The patient's clinical manifestations and auxiliary examination suggested a brachial plexopathy. Metabolic and immune factors that may occur during pregnancy and puerperium were evaluated. We also screened for paraneoplastic, neoplastic, and genetic factors. Finally, a hereditary form of disease was considered. This case emphasizes the importance of early diagnosis and avoidance of triggers.

Indexed as

PainPostpartum PeriodAdultAtrophyChildChild, PreschoolClinical ReasoningFemaleHumansPregnancyUpper Extremity

Identifiers

PMID36522159
PMCPMC10065203

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.