Evidence map›Paper›PMID 38118425›Full record

ReviewEuropean neurology2024

Pathophysiology of Contrast-Induced Neurotoxicity: A Narrative Review of Possible Mechanisms.

Frederick P Mariajoseph, Leon Lai, Justin Moore, Ronil Chandra, Tony Goldschlager, Adrian J Praeger, Lee-Anne Slater

Open access · greenAbstract readReview
In one paragraph

Review in European neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Frederick P MariajosephDepartment of Neurosurgery, Monash Health, Clayton, Victoria, Australia.
Leon LaiDepartment of Neurosurgery, Monash Health, Clayton, Victoria, Australia.
Justin MooreDepartment of Neurosurgery, Monash Health, Clayton, Victoria, Australia.
Ronil ChandraMonash Imaging, Monash Health, Clayton, Victoria, Australia.
Tony GoldschlagerDepartment of Neurosurgery, Monash Health, Clayton, Victoria, Australia.
Adrian J PraegerDepartment of Neurosurgery, Monash Health, Clayton, Victoria, Australia.
Lee-Anne SlaterMonash Imaging, Monash Health, Clayton, Victoria, Australia.
Monash University · AUMonash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContrast-induced neurotoxicity (CIN) is an increasingly observed event following the administration of iodinated contrast. It presents as a spectrum of neurological symptoms that closely mimic ischaemic stroke, however, CIN remains a poorly understood clinical phenomenon. An appreciation of the underlying pathophysiological mechanisms is essential to improve clinical understanding and enhance decision-making.

methodsA broad literature search of Medline (1946 to December 2022) and Embase (1947 to December 2022) was conducted. Articles discussing the pathophysiology of CIN were reviewed. SUMMARY: The pathogenesis of CIN appears to be multifactorial. A key step is likely blood-brain barrier (BBB) breakdown due to factors including ischaemic stroke, uncontrolled hypertension, and possibly contrast agents themselves, among others. This is followed by passage of contrast agents across the BBB, leading to chemotoxic sequelae on neural tissue. KEY MESSAGES: This review provides a clinically oriented review on the pathophysiology of CIN to enhance knowledge and improve decision-making among clinicians.

Indexed as

Brain IschemiaHypertensionIschemic StrokeStrokeContrast MediaHumansContrast MediaAdverse eventComplicationContrast-induced neurotoxicityEncephalopathyEndovascularIodinated contrastNeurotoxicityPathophysiology

Identifiers

PMID38118425
PMCPMC11003557
OpenAlexW4389993770

What OpenQuestion holds

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LicenceCC BY-NC
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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.