Evidence map›Paper›PMID 38231252›Full record

ArticleNeuroradiology2024

Cervical anterior spinal artery infarction associated with anomalous vertebral artery: a case report.

Edinson Najera, Stephen J Bordes, Philippe Gailloud, Lydia Gregg, Maria Martucci, Michal Obrzut

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 99% 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, 0 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Edinson NajeraDepartment of Neurosurgery, Braathen Neurological Center, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA.
Stephen J BordesDepartment of Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA.ORCID http://orcid.org/0000-0002-7507-0674
Philippe GailloudInterventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Lydia GreggInterventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Maria MartucciDepartment of Neurology, Braathen Neurological Center, Cleveland Clinic Florida, Weston, FL, USA.
Michal ObrzutDepartment of Neurosurgery, Braathen Neurological Center, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA. obrzutm@ccf.org.ORCID http://orcid.org/0000-0001-9795-764X
Cleveland Clinic Florida · USJohns Hopkins Hospital · USLouisiana State University Health Sciences Center New Orleans · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a unique case of cervical anterior spinal artery (ASA) infarction in a 49-year-old male with hypercholesterolemia and sleep apnea. The patient experienced sudden cervical pain, quadriparesis, areflexia, and urinary incontinence after swallowing a large food bolus. Imaging revealed an infarction at the C3-C5 levels and an anomalous right vertebral artery (VA) originating from the thoracic aorta, tightly enclosed between the aorta and a vertebral column with an anterior osteophyte. This aberrant VA was the primary vascular supply to the ASA, with no contribution from the left VA or supreme intercostal arteries. We propose that transient injury to the right VA, induced by compression between the aortic arch, the food bolus, and the osteophyte, led to temporary hypoperfusion of the ASA, causing a watershed ischemic injury in the mid cervical cord's anterior gray matter. The article also provides an in-depth discussion of the developmental and clinical characteristics associated with this rare vascular anomaly.

Indexed as

OsteophyteVascular MalformationsCervical VertebraeHumansInfarctionMaleMiddle AgedNeckVertebral ArteryAcute myelopathyAnterior spinal artery infarctionVertebral arteryWatershed area

Identifiers

PMID38231252
OpenAlexW4390952810

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.