Evidence map›Paper›PMID 37810301›Full record

ArticleSurgical neurology international2023

When does too little pressure become too much? A case of spontaneous intracranial hypotension presenting with acute loss of consciousness.

Conor Brosnan, Mohamed Osman Dablouk, Vincent Healy, Daniel Murray, Hamzah A Soleiman, Ciaran Bolger

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

Article in Surgical neurology international, 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 42% 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.

  1. Observational
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

6 authors at 2 institutions in 1 country.

Conor BrosnanDepartment of Radiology, Beaumont Hospital, Dublin 9, Ireland.
Mohamed Osman DabloukDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Vincent HealyDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Daniel MurrayDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Hamzah A SoleimanDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Ciaran BolgerDepartment of Neurosurgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Royal College of Surgeons in Ireland · IEBeaumont Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We present a unique case of spontaneous intracranial hypotension (SIH) presenting with acute collapse and loss of consciousness. Case Description: The affected patient suffered an abrupt decline in level of consciousness several weeks after initial diagnosis. The patient was urgently transferred to a specialist neurosurgical unit. Imaging showed bilateral subdural fluid collections with significant associated local mass effect. The treating team faced a clinical conundrum with a lack of clarity as to whether this sudden deterioration was secondary to the local pressure effect on brainstem traction from reduced intracranial pressure. A decision was made to proceed with urgent burr-hole decompression of the bilateral subdural fluid collections. Conclusion: After a protracted, complex postoperative course, the patient recovered to full functional independence. To the author's knowledge, this is the first case in literature describing successful surgical management of SIH, with bilateral burr-hole evacuation to relieve the paradoxical mass effect of bilateral subdural fluid collections.

Indexed as

Cerebrospinal fluid effusionEssential intracranial hypotensionNeurosurgerySpontaneous subdural surgical management

Identifiers

PMID37810301
PMCPMC10559507
OpenAlexW4386774403

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.