Evidence map›Paper›PMID 36698879›Full record

SynthesisFrontiers in neurology2022

Cerebral venous sinus thrombosis in traumatic brain injury: A systematic review of its complications, effect on mortality, diagnostic and therapeutic management, and follow-up.

Dag Ferner Netteland, Else Charlotte Sandset, Magnus Mejlænder-Evjensvold, Mads Aarhus, Elisabeth Jeppesen, Diana Aguiar de Sousa, Eirik Helseth, Tor Brommeland

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Dag Ferner NettelandDepartment of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway.
Else Charlotte SandsetDepartment of Neurology, Oslo University Hospital Ullevål, Oslo, Norway.
Magnus Mejlænder-EvjensvoldDepartment of Radiology and Nuclear Medicine, Oslo University Hospital Ullevål, Oslo, Norway.
Mads AarhusDepartment of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway.
Elisabeth JeppesenFaculty of Health Studies, VID Specialized University, Oslo, Norway.
Diana Aguiar de SousaDepartment of Neurosciences (Neurology), Hospital de Santa Maria, University of Lisbon, Lisbon, Portugal.
Eirik HelsethDepartment of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway.
Tor BrommelandDepartment of Neurosurgery, Oslo University Hospital Ullevål, Oslo, Norway.
Oslo University Hospital · NOStiftelsen Norsk Luftambulanse · NOUniversity of Lisbon · PTUniversity of Oslo · NOVID Specialized University · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Cerebral venous sinus thrombosis (CVST) is increasingly being recognized in the setting of traumatic brain injury (TBI), but its effect on TBI patients and its management remains uncertain. Here, we systematically review the currently available evidence on the complications, effect on mortality and the diagnostic and therapeutic management and follow-up of CVST in the setting of TBI. Methods: Key clinical questions were posed and used to define the scope of the review within the following topics of complications; effect on mortality; diagnostics; therapeutics; recanalization and follow-up of CVST in TBI. We searched relevant databases using a structured search strategy. We screened identified records according to eligibility criteria and for information regarding the posed key clinical questions within the defined topics of the review. Results: From 679 identified records, 21 studies met the eligibility criteria and were included, all of which were observational in nature. Data was deemed insufficiently homogenous to perform meta-analysis and was narratively synthesized. Reported rates of venous infarctions ranged between 7 and 38%. One large registry study reported increased in-hospital mortality in CVSP and TBI compared to a control group with TBI alone in adjusted analyses. Another two studies found midline CVST to be associated with increased risk of mortality in adjusted analyses. Direct data to inform the optimum diagnostic and therapeutic management of the condition was limited, but some data on the safety, and effect of anticoagulation treatment of CVST in TBI was identified. Systematic data on recanalization rates to guide follow-up was also limited, and reported complete recanalization rates ranged between 41 and 86%. In the context of the identified data, we discuss the diagnostic and therapeutic management and follow-up of the condition. Conclusion: Currently, the available evidence is insufficient for evidence-based treatment of CVST in the setting of TBI. However, there are clear indications in the presently available literature that CVST in TBI is associated with complications and increased mortality, and this indicates that management options for the condition must be considered. Further studies are needed to confirm the effects of CVST on TBI patients and to provide evidence to support management decisions. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier: PROSPERO [CRD42021247833].

Indexed as

cerebral venous sinus thrombosiscomplicationsdiagnosisfollow-upmanagementmortalitysystematic reviewtraumatic brain injury

Identifiers

PMID36698879
PMCPMC9869151
OpenAlexW4313946019

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.