Evidence map›Paper›PMID 36583201›Full record

ArticleClinical case reports2022

A case of atlantoaxial instability following skull base osteomyelitis: Tips for diagnosis and management.

Faramarz Roohollahi, Arad Iranmehr, Ehsan Fatahi Andabili

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2022. 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
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. 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

3 authors.

Faramarz RoohollahiNeurological Surgery Department, Shariati Hospital Complex Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0001-7994-1097
Arad IranmehrNeurological Surgery Department, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-5932-9375
Ehsan Fatahi AndabiliNeurological Surgery Department Golestan University of Medical Sciences Gorgan Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skull base osteomyelitis is a rare but dangerous consequence of untreated malignant otitis externa. Pseudomonas aeruginosa is responsible for most cases with typical presentation. Here, we discuss a diabetic 54-year-old female presented with malignant otitis externa and bilateral facial paresis followed by cervical spondylitis and C1-C2 instability. Skull base osteomyelitis confirmed by clinical presentation, imaging, and laboratory data. Fortunately, she responded well to antibacterial and antifungal therapy. Due to limited data, there is no confirmed standard of treatment for cervical instability secondary to SBO. It seems antibiotic therapy is the mainstay of treatment. In case of poor response to antibiotic therapy, surgical intervention is inevitable. This article introduces the first case of SBO-related AAI successfully managed with conservative treatment.

Indexed as

cervical instabilityosteomyelitisotitis externaskull base

Identifiers

PMID36583201
PMCPMC9792648

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.