Evidence map›Paper›PMID 37840892›Full record

ArticleRadiology case reports2023

Giant serpentine aneurysm: Neuroradiological and neurosurgical management in a left-handed patient.

Andrea Romano, Giulia Moltoni, Amedeo Piazza, Guido Trasimeni, Massimo Miscusi, Serena Palizzi, Allegra Romano, Antonino Raco, Alessandro Bozzao

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

Article in Radiology case reports, 2023. 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
0.4field-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, 2 citations in OpenAlex.

  1. Article
  2. Review
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

9 authors at 1 institution in 1 country.

Andrea RomanoNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Giulia MoltoniNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Amedeo PiazzaNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Guido TrasimeniNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Massimo MiscusiNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Serena PalizziNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Allegra RomanoNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Antonino RacoNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Alessandro BozzaoNESMOS, Department of Neuroradiology, S.Andrea Hospital, University Sapienza, Rome, Italy.
Azienda Ospedaliera Sant'Andrea · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Giant serpentine aneurysms are rare huge and partially thrombosed aneurysms, with an eccentric tortuous intra-aneurysmal vascular channel. Surgical treatment is often necessary due to the great mass effect. We describe a case of a left-handed woman with a giant serpentine aneurysm of the left middle cerebral artery whose management was complex. The challenge was to exclude the aneurysm from circulation, reduce the mass effect, and, mostly, preserve the language function. Since the patient was left-handed the language dominance needed to be assessed; functional MRI (fMRI) and Wada test (WT) showed a right dominance. Surgical treatment was performed, as a complication, the patient developed left fronto-basal ischemia with a slight paresis of the right hand but without any language deficit. Our case shows the importance of a multidisciplinary team in patient management, with a pivotal role of neuroradiological functional tests in presurgical planning.

Indexed as

Functional MRILanguage dominanceSerpentine aneurysmWada test

Identifiers

PMID37840892
PMCPMC10569986
OpenAlexW4387352952

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.