Evidence map›Paper›PMID 37072631›Full record

ArticleActa neurochirurgica2023

Anatomical variations and flow alterations of the uncal vein and its clinical implications in petroclival meningiomas.

Kei Yamashiro, Kazuhide Aadchi, Tatsuo Omi, Motoharu Hayakawa, Akiyo Sadato, Mitsuhiro Hasegawa, Yuichi Hirose

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Article in Acta neurochirurgica, 2023. 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
0.2field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

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4 · The record

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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

7 authors at 1 institution in 1 country.

Kei YamashiroDepartment of Neurosurgery, Fujita Health University Okazaki Medical Center, Harisaki-Cho, 1 Gotanda, Okazaki, Aichi, 444-0827, Japan. keiyamashiro1577@gmail.com.ORCID 0000-0002-6871-0792
Kazuhide AadchiDepartment of Neurosurgery, Fujita Health University, Toyoake, Aichi, 470-1192, Japan.
Tatsuo OmiDepartment of Neurosurgery, Fujita Health University Okazaki Medical Center, Harisaki-Cho, 1 Gotanda, Okazaki, Aichi, 444-0827, Japan.
Motoharu HayakawaDepartment of Neurosurgery, Fujita Health University Okazaki Medical Center, Harisaki-Cho, 1 Gotanda, Okazaki, Aichi, 444-0827, Japan.
Akiyo SadatoDepartment of Neurosurgery, Fujita Health University, Toyoake, Aichi, 470-1192, Japan.
Mitsuhiro HasegawaDepartment of Neurosurgery, Fujita Health University, Toyoake, Aichi, 470-1192, Japan.
Yuichi HiroseDepartment of Neurosurgery, Fujita Health University, Toyoake, Aichi, 470-1192, Japan.
Fujita Health University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Uncal vein (UV), downstream of the deep middle cerebral vein (DMCV), has a similar drainage pattern to the superficial middle cerebral vein (SMCV) and may be involved in venous complications during the anterior transpetrosal approach (ATPA). However, in petroclival meningioma (PCM), where the ATPA is frequently used, there are no reports evaluating drainage patterns of the UV and the risk of venous complications associated with the UV during the ATPA.

methodsForty-three patients with petroclival meningioma (PCM) and 20 with unruptured intracranial aneurysm (control group) were included. Preoperative digital subtraction angiography was used to evaluate UV and DMCV drainage patterns on the side of the tumor and bilaterally in patients with PCM and the control group, respectively.

resultsIn the control group, the DMCV drained to the UV, UV and BVR, and BVR in 24 (60.0%), eight (20.0%), and eight (20.0%) hemispheres, respectively. Conversely, the DMCV in the patients with PCM drained to the UV, UV and BVR, and BVR in 12 (27.9%), 19 (44.2%), and 12 (27.9%) patients, respectively. The DMCV was more likely to be drained to the BVR in the PCM group (p < 0.01). In three patients with PCM (7.0%), the DMCV drained only to the UV, and furthermore, the UV drained to the pterygoid plexus via the foramen ovale, posing a risk for venous complications during the ATPA.

conclusionsIn the patients with PCM, the BVR functioned as a collateral venous pathway of the UV. Preoperative evaluation of the UV drainage patterns is recommended to reduce venous complications during the ATPA.

Indexed as

Cerebral VeinsMeningeal NeoplasmsMeningiomaSkull Base NeoplasmsDrainageHumansAnterior transpetrosal approachBasal vein of RosenthalDeep middle cerebral veinPetroclival meningiomaUncal vein

Identifiers

PMID37072631
OpenAlexW4366261920

What OpenQuestion holds

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Registered trials

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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.