Evidence map›Paper›PMID 37202170›Full record

ArticleNeurology2023

Long-term Outcomes After Periprocedural and Spontaneous Spinal Cord Infarctions: A Population-Based Cohort Study.

Vasilios Stenimahitis, Alexander Fletcher-Sandersjöö, Victor Gabriel El-Hajj, Claes Hultling, Magnus Andersson, Olafur Sveinsson, Adrian Elmi-Terander, Erik Edström

Abstract read
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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. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Hypotension-Induced Transverse Spinal Cord Ischemia.European journal of case reports in internal medicine · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

8 authors.

Vasilios StenimahitisFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.ORCID 0000-0003-2952-4599
Alexander Fletcher-SandersjööFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.ORCID 0000-0002-3558-3045
Victor Gabriel El-HajjFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.ORCID 0000-0001-9479-761X
Claes HultlingFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.
Magnus AnderssonFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.
Olafur SveinssonFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.ORCID 0000-0002-4507-2935
Adrian Elmi-TeranderFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden. adrian.elmi.terander@gmail.com.ORCID 0000-0002-3776-6136
Erik EdströmFrom the Department of Clinical Neuroscience (V.S., A.F.-S., V.G.E.-H., M.A., O.S., E.E.), Karolinska Institutet; Department of Neurology (V.S., C.H., M.A.), and Department of Neurosurgery (A.F.-S., V.G.E.-H., E.E.), Karolinska University Hospital; Department of Neurobiology, Care Sciences and Society (C.H.), Karolinska Institutet, Stockholm, Sweden; Department of Neurology (O.S.), Landspitali, Reykjavik, Iceland; Stockholm Spine Center (A.E.-T.), Löwenströmska Hospital, Upplands Väsby; and Department of Surgical Sciences (A.E.-T.), Uppsala University, Sweden.ORCID 0000-0002-8781-1169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSpinal cord infarction (SCInf) is a rare condition where consensus regarding diagnostic criteria is lacking, and misdiagnosis or delayed diagnosis can be detrimental. The aim of this study was to describe baseline findings and predictors of long-term functional outcome in a population-based cohort of patients with SCInf.

methodsAll adult patients (aged 18 years or older) treated at the spinal cord injury unit of the study center, between 2006 and 2019, and discharged with a G95 diagnosis (other and unspecified disease of the spinal cord) were screened for inclusion. The diagnostic criteria proposed by Zalewski et al. were retrospectively applied to evaluate the certainty of the SCInf diagnosis.

resultsA total of 270 patients were screened and 57 were included in the study, of whom 30 had a spontaneous SCInf and 27 had a periprocedural SCInf. The median American Spinal Cord Injury Association Impairment Scale (AIS) on admission was C, which at a median follow-up of 2.1 years had improved to D ( DISCUSSION: SCInf is a rare neurologic emergency lacking specific management guidelines. While the presumptive diagnosis is based on the typical presentation and clinical findings, T2-weighted and diffusion-weighted MRI were the most useful diagnostic tools in establishing a definitive diagnosis. Our data show that spontaneous SCInf mostly affected a single spinal cord segment, whereas periprocedural cases were more extensive, had poorer AIS on admission, poorer ambulatory function, and longer hospital stays. Regardless of the etiology, significant neurologic improvements were seen at long-term follow-up, highlighting the importance of active rehabilitation.

Indexed as

Spinal Cord InjuriesSpinal Cord IschemiaAdultCohort StudiesHumansInfarctionRecovery of FunctionRetrospective Studies

Identifiers

PMID37202170
PMCPMC10351548

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