Evidence map›Paper›PMID 38212489›Full record

ArticleNeuroradiology2024

Delayed leukoencephalopathy following non-coil embolization flow diverter stent deployment for an intracranial aneurysm.

Shinsuke Muraoka, Takumi Asai, Hajime Hamasaki, Takahiko Fukui, Naoki Suzuki, Toshihisa Nishizawa, Yoshio Araki, Ryuta Saito

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

8 authors at 3 institutions in 1 country.

Shinsuke MuraokaDepartment of Neurosurgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan. neuro-smuraoka@umin.ac.jp.ORCID http://orcid.org/0000-0003-4225-110X
Takumi AsaiDepartment of Neurosurgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan.
Hajime HamasakiDepartment of Neurosurgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan.
Takahiko FukuiDepartment of Neurosurgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan.
Naoki SuzukiDepartment of Neurosurgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan.
Toshihisa NishizawaDepartment of Neurosurgery, Kariya Toyota General Hospital, Kariya, Aichi, Japan.
Yoshio ArakiDepartment of Neurosurgery, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Aichi, Japan.
Ryuta SaitoDepartment of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Kariya Toyota General Hospital · JPJapanese Red Cross Nagoya Daini Hospital · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report examines delayed leukoencephalopathy as a postoperative complication after the use of flow diverter (FD) devices for endovascular cerebral aneurysm treatment. A case involving a 78-year-old female treated with a pipeline embolization device for a left internal carotid artery aneurysm is presented. Despite adherence to dual anti-platelet therapy, the patient developed intermittent headaches and memory issues 3 months post-operation. MRI revealed T1-enhancing foci and T2 hyperintense signal abnormalities in the left cerebral hemisphere, without new ischemic lesions, indicating potential embolic events or foreign body reactions. Following aphasia, a change from clopidogrel to prasugrel and the initiation of steroid pulse therapy led to the resolution of symptoms and MRI abnormalities over 6 months. This case underscores the reversibility of delayed leukoencephalopathy with appropriate intervention.

Indexed as

Carotid Artery DiseasesEmbolization, TherapeuticEndovascular ProceduresIntracranial AneurysmAgedFemaleHumansMagnetic Resonance ImagingStentsTreatment OutcomeAneurysmDelayed leukoencephalopathyEndovascular treatmentFlow diverter devicePrognosis

Identifiers

PMID38212489
OpenAlexW4390765829

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.