Evidence map›Paper›PMID 38488893›Full record

ArticleActa neurochirurgica2024

Lateral medullary vascular compression manifesting as paroxysmal hypertension.

L Giammattei, G Wuerzner, K Theiler, P Vollenweider, V Dunet, M Al Barajraji, J W Squair, J Bloch, R T Daniel

Open access · hybridAbstract readCase Reports
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 1 institution in 1 country.

L GiammatteiDepartment of Neurosurgery, Lausanne University Hospital, Lausanne and University of Lausanne, Lausanne, Switzerland. lorenzo.giammattei@chuv.ch.
G WuerznerService of Nephrology and Hypertension, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
K TheilerService of Nephrology and Hypertension, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
P VollenweiderDepartment of Medicine, Internal Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
V DunetDepartment of Medical Radiology, Service of Diagnostic and Interventional Radiology, Neuroradiology Unit, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
M Al BarajrajiDepartment of Neurosurgery, Lausanne University Hospital, Lausanne and University of Lausanne, Lausanne, Switzerland.
J W SquairDepartment of Neurosurgery, Lausanne University Hospital, Lausanne and University of Lausanne, Lausanne, Switzerland.
J BlochDepartment of Neurosurgery, Lausanne University Hospital, Lausanne and University of Lausanne, Lausanne, Switzerland.
R T DanielDepartment of Neurosurgery, Lausanne University Hospital, Lausanne and University of Lausanne, Lausanne, Switzerland.
University of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurovascular compression of the rostral ventrolateral medulla (RVLM) has been described as a possible cause of refractory essential hypertension. We present the case of a patient affected by episodes of severe paroxysmal hypertension, some episodes associated with vago-glossopharyngeal neuralgia. Classical secondary forms of hypertension were excluded. Imaging revealed a neurovascular conflict between the posterior inferior cerebellar artery (PICA) and the ventrolateral medulla at the level of the root entry zone of the ninth and tenth cranial nerves (CN IX-X REZ). A MVD of a conflict between the PICA and the RVLM and adjacent CN IX-X REZ was performed, resulting in reduction of the frequency and severity of the episodes. Brain MRI should be performed in cases of paroxysmal hypertension. MVD can be considered in selected patients.

Indexed as

Glossopharyngeal Nerve DiseasesHypertensionHumansMedulla OblongataPressureVagus NerveFar lateral approachMicrovascular decompressionNeurogenic hypertensionSymptomatic paroxysmal hypertensionVago-glossopharyngeal neuralgiaVentrolateral medullary decompression

Identifiers

PMID38488893
PMCPMC10943153
OpenAlexW4392853874

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.