Evidence map›Paper›PMID 36873344›Full record

ArticleJournal of orthopaedic case reports2022

Iatrogenic CSF Leak from CT Myelogram Leading to Cauda Equina Compression: A Case Report.

Martinus Megalla, Alexander P Decilveo, Robert M McCunney, Mark Ruoff

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic case reports, 2022. 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
0.2field-weighted citation impact, top 41% 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, 2 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

4 authors at 2 institutions in 1 country.

Martinus MegallaDepartment of Orthopaedic Surgery, Hackensack Meridian School of Medicine, Nutley, New Jersey.
Alexander P DecilveoDepartment of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey.
Robert M McCunneyDepartment of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey.
Mark RuoffDepartment of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey.
St. Joseph’s University Medical Center · USCenter for Discovery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Although magnetic resonance imaging (MRI) is the preferred imaging modality for diagnosing cauda equina syndrome (CES), computerized tomography (CT) myelogram may be used in patients who are unable to undergo MRI. When inserting the needle for CT myelogram, there is a risk of cerebrospinal fluid (CSF) leak, which theoretically could lead to CES. To the best of our knowledge, there are no reports of CT myelogram resulting in cauda equina compression. Case Report: We report the case of a 38-year-old man who underwent surgical decompression for CES and developed an iatrogenic CSF leak from a pre-operative CT myelogram causing recurrent thecal sac compression requiring repeat surgery and dural repair. Conclusion: Although CT myelogram may be used to aid in the diagnosis of CES, consideration should be given to the potential risk for causing a CSF leak and resultant thecal sac compression.

Indexed as

cauda equinacauda equina syndromecerebrospinal fluid leakcomplicationscomputerized tomography myelogramduralumbar puncturemagnetic resonance imagingpuncturesaddle anesthesiaSpine

Identifiers

PMID36873344
PMCPMC9983418
OpenAlexW4313565639

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.