Evidence map›Paper›PMID 38846033›Full record

ArticleFrontiers in neurology2024

Unveiling the domino effect: a nine-year follow-up on pentalogy of central nervous system induced by a large unruptured cerebral arteriovenous malformation: a case report and literature review.

Yunsen He, Ye Tao, Jing Tian, Mingbin Bao, Mengjun Zhang, Qinjiang Huang, Hongliang Li, Xinxin Chang, Kun Li, Ping Liu and 4 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 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
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.

  1. 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

14 authors.

Yunsen He *Department of Neurosurgery, Sichuan Lansheng Brain Hospital and Shanghai Lansheng Brain Hospital Investment Co., Ltd., Chengdu, China.
Ye Tao *Department of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Jing Tian *Department of Neurosurgery, The People's Hospital of Zhongjiang, Deyang, Sichuan, China.
Mingbin BaoDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Mengjun ZhangSichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Qinjiang HuangDepartment of Neurosurgery, Wenjiang District People's Hospital of Chengdu, Chengdu, China.
Hongliang LiDepartment of Neurosurgery, Sichuan Lansheng Brain Hospital and Shanghai Lansheng Brain Hospital Investment Co., Ltd., Chengdu, China.
Xinxin ChangDepartment of Neurosurgery, Sichuan Lansheng Brain Hospital and Shanghai Lansheng Brain Hospital Investment Co., Ltd., Chengdu, China.
Kun LiDepartment of Neurosurgery, Sichuan Lansheng Brain Hospital and Shanghai Lansheng Brain Hospital Investment Co., Ltd., Chengdu, China.
Ping LiuDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Lili GuoDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Xiaohong QinDepartment of Neurosurgery, The People's Hospital of Zhongjiang, Deyang, Sichuan, China.
Caiquan HuangDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Bo WuDepartment of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The disruption of intracranial fluid dynamics due to large unruptured cerebral arteriovenous malformation (AVM) commonly triggers a domino effect within the central nervous system. This phenomenon is frequently overlooked in prior clinic and may lead to catastrophic misdiagnoses. Our team has documented the world's first case of so-called Clinical presentation and result: A 30-year-old female was first seen 9 years ago with an occasional fainting, at which time a huge unruptured AVM was discovered. Subsequently, due to progressive symptoms, she sought consultations from several prestigious neurosurgical departments in China, where all consulting neurosurgeons opted for conservation treatment due to perceived surgical risks. During the follow-up period, the patient gradually presented with hydrocephalus, empty sella, secondary Chiari malformation, syringomyelia, and scoliosis (we called as Conclusion: During the monitoring of unruptured AVM, it is crucial to remain vigilant for the development or progression of AVMP. When any component of AVMP is identified, thorough etiological studies and analysis of cascade reactions are imperative to avert misdiagnosis. When direct AVM intervention is not viable, strategically addressing hydrocephalus as part of the AVMP may serve as the critical therapeutic focus.

Indexed as

cerebral arteriovenous malformationempty sellahydrocephalusoptic disc edemascoliosissecondary Chiari malformationsyringomyeliaventriculo-peritoneal shunt

Identifiers

PMID38846033
PMCPMC11153792

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.