Evidence map›Paper›PMID 36859410›Full record

ArticleNeurology2023

Clinical Reasoning: A 40-Year-Old Woman Presenting With Encephalopathy and Paraparesis.

Al-Alya AlSabah, Vincent Brissette, Robert Daniel Altman

Open access · bronzeAbstract readCase Reports
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 96% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 1 institution in 1 country.

Al-Alya AlSabahFrom the Department of Neurology (A.-A.A.), Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec; Department of Medicine (Neurology) (V.B.), Faculty of Medicine, University of Ottawa, Ontario; Department of Neurology and Neurosurgery (R.D.A.), Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Vincent BrissetteFrom the Department of Neurology (A.-A.A.), Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec; Department of Medicine (Neurology) (V.B.), Faculty of Medicine, University of Ottawa, Ontario; Department of Neurology and Neurosurgery (R.D.A.), Jewish General Hospital, McGill University, Montreal, Quebec, Canada. vbris032@uottawa.ca.ORCID 0000-0002-1190-2726
Robert Daniel AltmanFrom the Department of Neurology (A.-A.A.), Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec; Department of Medicine (Neurology) (V.B.), Faculty of Medicine, University of Ottawa, Ontario; Department of Neurology and Neurosurgery (R.D.A.), Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
McGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with acute to subacute multifocal neurologic abnormalities often have a unique presentation, and their diagnosis and management can be challenging. We present the case of a 40-year-old patient who presented with a 4-day history of confusion, bradyphrenia, right facial droop, bilateral lower limb weakness, urinary incontinence, and hypothermia. This case highlights the diagnostic approach to patients with subacute multifocal neurologic abnormalities, the importance of considering coexisting systemic illnesses in the diagnosis, and their management. Readers will explore the diagnostic steps our group has considered to reach our final diagnosis and the importance of management for our leading diagnosis.

Indexed as

Brain DiseasesAdultClinical ReasoningConfusionFemaleHumansMuscle WeaknessParaparesis

Identifiers

PMID36859410
PMCPMC10351308
OpenAlexW4322757563

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.