Evidence map›Paper›PMID 37786589›Full record

ArticleIbrain2022

Thoracic epidural arteriovenous malformation causing rapidly progressive myelopathy and mimicking an acute transverse myelitis: A case report.

Hao Yuan, Yu Pi, Hong-Su Zhou, Chong Wang, Wei Liu, Yong-Min Niu, Yang Lan, Dong Chen, Shi-Ran Liu, Shun-Wu Xiao

Open access · goldAbstract readCase Reports
In one paragraph

Article in Ibrain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 5 institutions in 2 countries.

Hao YuanDepartment of Orthopedics Affiliated Hospital of Zunyi Medical University Zunyi Guizhou China.ORCID https://orcid.org/0000-0003-2045-5662
Yu PiDepartment of Anesthesiology South West Medical University Luzhou China.ORCID 0000-0002-2499-7605
Hong-Su ZhouDepartment of Anesthesiology Affiliated Hospital of Zunyi Medical University Zunyi Guizhou China.
Chong WangDepartment of Orthopedics Affiliated Hospital of Zunyi Medical University Zunyi Guizhou China.
Wei LiuEnglish Department of College of foreign languages Guizhou University Guizhou Guiyang China.
Yong-Min NiuInstitute of Neuroscience Kunming Medical University Kunming Yunnan China.ORCID 0000-0002-6088-7681
Yang LanDepartment of Sports Rehabilitation Kunming Medical University Yunnan Kunming China.
Dong ChenDepartment of Sports Rehabilitation Kunming Medical University Yunnan Kunming China.
Shi-Ran LiuDepartment of Informatics, Faculty of Business, Economics and Informatics University of Zurich Zurich Switzerland.
Shun-Wu XiaoDepartment of Neurosurgery Affiliated Hospital of Zunyi Medical University Zunyi China.
Zunyi Medical University · CNKunming Medical University · CNGuizhou University · CNSouthwest Medical University · CNZurich University of Applied Sciences in Business Administration · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical symptoms of spinal arteriovenous malformations (AVMs) combined with acute spontaneous hemorrhage lack specificity, which leads to misdiagnosis and delays treatment. The current study aimed to analyze the causes of misdiagnosis and review the key points of diagnosis and treatment. We presented an extremely rare case of a 25-year-old man whose clinical characteristics mimicked acute transverse myelitis, suffering from rapidly and repeatedly progressive myelopathy with a mass. The pathological diagnosis of the mass was AVM; symptom-based surgical treatment with posterior decompression and the removal of epidural AVMs during the postoperative 12-month follow-up period were performed. The manual muscle testing grade score of the proximal and distal muscles in both lower limbs improved from 1 to 5, and the American Spinal Injury Association motor and sensation grade score improved from B to E. In the case of sudden or progressive spinal cord injury of unknown cause and acute spinal cord dysfunction, there might be a misdiagnosis. The key to a differential diagnosis is to take into account AVMs, and spontaneous hemorrhages and hematomas should also be suspected. Angiography and magnetic resonance imaging are very important for the diagnosis of AVM, and we hope to enhance clinicians' understanding of and vigilance for such diseases.

Indexed as

acute transverse myelitisarteriovenous malformationsepidural spacemisdiagnosespontaneous hemorrhage

Identifiers

PMID37786589
PMCPMC10528776
OpenAlexW4307282707

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.