Cranial nerve VI palsy in chronic sphenoid sinusitis.

Ruoyu Luie Wang, Bertilia Tavárez, Jonathan Amaro-Barron, Arooj Iqbal, Rovie Mesola

Open access · greenAbstract readCase Reports

In one paragraph

Article in BMJ case reports, 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

0.3field-weighted citation impact, top 37% 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, 1 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

5 authors at 1 institution in 1 country.

Ruoyu Luie WangDepartment of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA Ruoyu.Wang@downstate.edu.ORCID http://orcid.org/0000-0001-7992-4756

Bertilia TavárezDepartment of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.

Jonathan Amaro-BarronDepartment of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.

Arooj IqbalDepartment of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.

Rovie MesolaDepartment of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.

SUNY Downstate Health Sciences University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sphenoid sinusitis is a rare disease associated with life-threatening complications that can be avoided with early recognition and timely treatment. Here, we present a case of a woman in her 80s admitted for symptomatic anaemia likely secondary to a gastrointestinal bleed with left cranial nerve (CN) VI palsy incidentally discovered on physical examination. CT and MRI were suggestive of chronic left sphenoid sinusitis with possible involvement of the left cavernous sinus. Surgical treatment was deferred due to high cardiac risk for perioperative mortality and recent ischaemic stroke. Despite antibiotic treatment, the patient's CN VI palsy remained unchanged. This report contributes to the current understanding of sphenoid sinusitis by presenting a complex case of chronic sphenoid sinusitis in which urgent surgical intervention was deferred due to the patient's multiple comorbidities. Furthermore, it highlighted the importance of the CN examination and imaging modalities in diagnosing sphenoid sinusitis.

Indexed as

Abducens Nerve DiseasesBrain IschemiaSphenoid SinusitisStrokeChronic DiseaseFemaleHumansParalysisCranial nervesEar, nose and throat/otolaryngologyInfection (neurology)

Identifiers

PMID37620105

DOI10.1136/bcr-2022-253773

PMCPMC10450123

OpenAlexW4386150071

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.