Evidence map›Paper›PMID 38154870›Full record

ArticleBMJ case reports2023

New-onset movement disorder in the immediate postpartum period.

Sarah Wikeley, Imogen Bacon, Orene Greer, Matthew Evans, Rizwan Hasan, Sangeeta Pathak

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 17% 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, 2 citations in OpenAlex.

  1. 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

6 authors at 5 institutions in 1 country.

Sarah WikeleyRookery Medical Centre, Royal College of General Practitioners, Newmarket, Suffolk, UK.
Imogen BaconDepartment of Obstetrics & Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK imogen.bacon1@nhs.net.
Orene GreerDepartment of Obstetrics & Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Matthew EvansDepartment of Neurology, Imperial College Healthcare NHS Trust, London, UK.
Rizwan HasanDepartment of Anaesthetics, Hinchingbrooke Hospital, North West Anglia NHS Foundation Trust, Hinchingbrooke Park, Huntingdon, Cambridgeshire, UK.
Sangeeta PathakDepartment of Obstetrics & Gynaecology, Hinchingbrooke Hospital, North West Anglia NHS Foundation Trust, Hinchingbrooke Park, Huntingdon, Cambridgeshire, UK.
Hinchingbrooke Hospital · GBChelsea and Westminster Hospital NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBImperial College London · GBRoyal College of General Practitioners · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report describes a woman who developed involuntary, uncoordinated movements of her face and limbs following a spontaneous vaginal delivery, complicated by postpartum haemorrhage. Using systematic assessment with multidisciplinary team input, a differential diagnosis was proposed and relevant investigations were undertaken. Atypical eclamptic or generalised seizures were excluded clinically and neuroimaging ruled out an intracranial vascular event such as stroke or venous sinus thrombosis. Local anaesthetic systemic toxicity was managed empirically with intravenous lipid emulsion and intravenous fluids. A diagnosis of drug-induced dyskinesia was made, most likely secondary to ondansetron, with which dystonias and myoclonus have been described. This woman's symptoms were transient and resolved within 2 hours.This case presented a complex differential diagnosis, highlighting the paucity of guidance available. We propose a diagnostic algorithm to aid in the identification of acute involuntary movements in pregnancy and the puerperium.

Indexed as

Movement DisordersPostpartum PeriodFemaleHumansPregnancyEpilepsy and seizuresMovement disorders (other than Parkinsons)Obstetrics, gynaecology and fertilityPregnancyUnwanted effects / adverse reactions

Identifiers

PMID38154870
PMCPMC10759129
OpenAlexW4390351005

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.