Evidence map›Paper›PMID 39238580›Full record

ArticleInterventional pain medicine2024

Dropped head syndrome after bilateral cervical radiofrequency ablation. A case report and literature review.

Antonio Ojeda Niño, Oihane Manterola Lasa, Cesar Gracia Fabre, Carlos L Nebreda-Clavo, Guilherme Ferreira-Dos-Santos, Rosario Armand-Ugon

Abstract readCase Reports
In one paragraph

Article in Interventional pain medicine, 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
–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

2 citing papers in PubMed.

  1. Article
  2. 7. Cervical facet pain: Degenerative alterations and whiplash-associated disorder.Pain practice : the official journal of World Institute of Pain · 2025
    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

6 authors.

Antonio Ojeda NiñoDepartment of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
Oihane Manterola LasaDepartment of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
Cesar Gracia FabreDepartment of Anesthesiology, Reanimation, and Pain Medicine, Sant Joan Despi Hospital, Spain.
Carlos L Nebreda-ClavoAliaga Institute, Tecknon Hospital, Barcelona, Spain.
Guilherme Ferreira-Dos-SantosDepartment of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.
Rosario Armand-UgonDepartment of Anesthesiology, Reanimation, and Pain Medicine, Hospital Clinic de Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cervical medial branch radiofrequency ablation is an effective treatment for cervical facet joint pain. It is considered a safe procedure, and permanent complications are very rare. We report a case of a patient who developed dropped-head syndrome (DHS) after bilateral treatment. Case report: An 86-year-old man was referred to our pain clinic because of neck pain. One year before, he underwent bilateral multi-level cervical medial branch radiofrequency ablation. Within the next 24 hours, he experienced progressive neck extensor muscle weakness. After a comprehensive examination, he was diagnosed with dropped head syndrome as a complication of the radiofrequency procedure. Conservative management was chosen, resulting in partial improvement of the muscular weakness. Conclusion: The present case, along with others reviewed in this article, supports the recommendation against performing bilateral and multilevel cervical medial branch radiofrequency ablation.

Identifiers

PMID39238580
PMCPMC11373035

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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.