Evidence map›Paper›PMID 38277029›Full record

ArticleActa neurochirurgica2024

Management of cervical CSF-venous fistula causing acute cognitive impairment and coma.

Lalani Carlton Jones, Jan Hoffmann, Saamir Mohideen, Biba Stanton, Cristina Bleil, Tom Britton, Peter J Goadsby, Bassel Zebian

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Acta neurochirurgica, 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
0.7field-weighted citation impact, top 31% 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. 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

8 authors at 3 institutions in 1 country.

Lalani Carlton JonesDepartment of Neuroradiology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK. lalani.carltonjones@nhs.net.ORCID 0000-0001-5810-7466
Jan HoffmannDepartment of Neurology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Saamir MohideenDepartment of Neurology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Biba StantonDepartment of Neurology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Cristina BleilDepartment of Neurosurgery, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Tom BrittonDepartment of Neurology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Peter J GoadsbyDepartment of Neurology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Bassel ZebianDepartment of Neurosurgery, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
King's College Hospital · GBKing's College London · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CSF-venous fistulas (CVFs) are increasingly recognised as a cause of spontaneous intracranial hypotension. They may present atypically including with brain sagging pseudo-dementia. Cervical CVFs are rare and their management can be difficult due to associated eloquent nerve roots. We report the case of a 49-year-old woman who presented with cognitive decline progressing to coma. Brain imaging showed features of spontaneous intracranial hypotension and a right C7 CVF was identified at digital subtraction and CT myelography. Initial treatment with CT-guided injection of fibrin sealant produced temporary improvement in symptoms before surgical treatment resulted in total clinical remission and radiological resolution.

Indexed as

AscomycotaFistulaIntracranial HypotensionCerebrospinal Fluid LeakComaFemaleHumansMiddle AgedMyelographyTomography, X-Ray ComputedCSF-venous fistulaFrontotemporal dementiaSpinal CSF leakSpontaneous intracranial hypotension

Identifiers

PMID38277029
OpenAlexW4391260052

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.