Evidence map›Paper›PMID 38531984›Full record

ArticleNeuroradiology2024

Medulla and cervical cord contrast-induced encephalopathy detected by neuromonitoring during coil embolization of posterior circulation aneurysms.

Kenta Nakase, Ichiro Nakagawa, Ai Okamoto, Yudai Morisaki, Ryousuke Maeoka, Shohei Yokoyama, Masashi Kotsugi

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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.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 23% 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, 3 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Kenta NakaseDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan.ORCID http://orcid.org/0000-0003-0799-5613
Ichiro NakagawaDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan. nakagawa@naramed-u.ac.jp.ORCID http://orcid.org/0000-0002-1340-3293
Ai OkamotoDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan.
Yudai MorisakiDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan.
Ryousuke MaeokaDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan.
Shohei YokoyamaDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan.
Masashi KotsugiDepartment of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-Cho, Kashihara, 634-8521, Japan.
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding the risks of contrast-induced encephalopathy (CIE), a serious complication of contrast agents, is crucial in endovascular treatment. We present the case of a 73-year-old woman who developed CIE in the medulla and cervical cord during coil embolization for unruptured left basilar-superior cerebellar artery and basilar artery tip aneurysms. The CIE was identified via neuromonitoring. In this case, spinal cord ischemia might have occurred due to reduced perfusion pressure after inserting the distal access catheter (DAC) in the vertebral artery. Multiple injections of contrast medium via the DAC during coil embolization likely contributed to an unusual form of CIE. Extreme caution is warranted during endovascular treatments involving the posterior circulation, due to the relatively high incidence of contrast-mediated encephalopathy, which can lead to severe consequences such as perforator infarction. Neuromonitoring is very useful for the early detection of neurological changes, particularly because intraoperative angiography may not reveal all irregularities.

Indexed as

Brain DiseasesCervical CordEmbolization, TherapeuticIntracranial AneurysmAgedFemaleHumansTreatment OutcomeBasilar artery aneurysmBasilar-superior cerebellar artery aneurysmContrast-induced encephalopathyEndovascular surgeryNeuromonitoring

Identifiers

PMID38531984
OpenAlexW4393201956

What OpenQuestion holds

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Registered trials

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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.