Evidence map›Paper›PMID 38978919›Full record

ArticleCureus2024

Distinguishing Cerebral Infarction With Neck Pain and Hemiparesis From Cervical Spinal Epidural Hematoma Without MRI: A Case Report.

Tatsuya Tanaka, Junpei Kato, Tomoyuki Naito, Tomihiro Wakamiya, Kimihiro Nakahara, Takashi Agari, Yuhei Michiwaki, Takashi Sugawara, Hiroshi Itokawa, Kazuaki Shimoji and 4 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 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.

Tatsuya TanakaNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Junpei KatoNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Tomoyuki NaitoNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Tomihiro WakamiyaNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Kimihiro NakaharaNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Takashi AgariNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Yuhei MichiwakiNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Takashi SugawaraNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Hiroshi ItokawaNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Kazuaki ShimojiNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Eiichi SuehiroNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Keisuke OnodaNeurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Akira MatsunoNeurosurgery, International University of Health and Welfare Narita Hospital, Narita, JPN.
Tadatsugu MorimotoOrthopedic Surgery, Faculty of Medicine, Saga University, Saga City, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients presenting neck pain and hemiparesis, differentiation between cerebral infarction and cervical spinal epidural hematoma is vital yet challenging, particularly when magnetic resonance imaging (MRI) is not feasible. A 59-year-old woman presented with a sudden onset of left-sided hemiparesis and neck pain. MRI was contraindicated because the patient underwent embolization in childhood. Head computed tomography (CT) revealed no evidence of hemorrhage or early ischemic signs. Cervical CT revealed no evidence of hematoma within the spinal canal. Myelography and CT myelography revealed no significant cervical spine abnormalities. The diagnosis was cerebral infarction. Cervical spine MRI is the gold standard examination for diagnosing cervical spinal epidural hematoma, but cervical spine CT, myelography, and CT myelography may be useful when MRI is contraindicated.

Indexed as

cervical spinal epidural hematomact myelographymisdiagnosisneck painstroke mimic

Identifiers

PMID38978919
PMCPMC11228687

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.