Evidence map›Paper›PMID 39372971›Full record

ReviewSurgical neurology international2024

Spinal cord infarction: A systematic review and meta-analysis of patient's characteristics, diagnosis accuracy, management, and outcome.

Yao Christian Hugues Dokponou, Fresnel Lutèce Ontsi Obame, Berjo Takoutsing, Mubarak Jolayemi Mustapha, Arsène Daniel Nyalundja, Moussa Elmi Saad, Omar Boladji Adebayo Badirou, Dognon Kossi François de Paule Adjiou, Nicaise Agada Kpègnon, Alngar Djimrabeye and 1 more

Abstract readReview
In one paragraph

Review in Surgical neurology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Thrombolysis in spinal cord infarction: Case report and systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

11 authors.

Yao Christian Hugues DokponouDepartment of Neurosurgery, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco.
Fresnel Lutèce Ontsi ObameDepartment of Neurosurgery, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco.
Berjo TakoutsingDepartment of Research, SubSaharan Africa Future Neurosurgeon Association, Cotonou, Bénin.
Mubarak Jolayemi MustaphaDepartment of Research, SubSaharan Africa Future Neurosurgeon Association, Cotonou, Bénin.
Arsène Daniel NyalundjaDepartment of Research, SubSaharan Africa Future Neurosurgeon Association, Cotonou, Bénin.
Moussa Elmi SaadDepartment of Neurosurgery, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco.
Omar Boladji Adebayo BadirouDepartment of Neurosurgery, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco.
Dognon Kossi François de Paule AdjiouDepartment of Neurosurgery, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco.
Nicaise Agada KpègnonDepartment of Research, SubSaharan Africa Future Neurosurgeon Association, Cotonou, Bénin.
Alngar DjimrabeyeDepartment of Neurosurgery, Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Rabat, Morocco.
Nourou Dine Adeniran BankoleDepartment of Research, SubSaharan Africa Future Neurosurgeon Association, Cotonou, Bénin.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute spinal cord infarction (SCI) is a rare ischemic vascular lesion. It is difficult to diagnose during the acute phase because the clinical features can vary widely, and the diffusion-weighted imaging of spinal cord magnetic resonance imaging (MRI) often fails to detect any obvious abnormality. The first aim of this study was to describe the SCI patients' characteristics, evaluate the accuracy of its diagnosis tools and management, and then find the strength of the effect of spinal surgical decompression on the patient's outcome. Methods: A PubMed keyword and Boolean search using ("spinal cord infarction" OR "spinal cord ischemia" AND diagnosis OR management OR outcome) returned 221,571 results by applying filters. We added 17,400 results from Google Scholar. Fourteen studies were included in the quantitative meta-analysis of mean differences. Results: The Time to Nadir was <6 h (56.1%), 6-12 h (30.7%), 12-72 h (5.4%), and more than 72 h (7.8%). The higher proportion of Owl's eye findings in the MRI was reported at the cervical level (39.6%) and thoracic level (22.9%) Conclusion: The T2DWI has moderate accuracy in detecting the T2HSI at the hyperacute time (NADIR <6 h). Even though surgical decompression favored good outcomes, medical treatment with physiotherapy was mostly used for the management of SCI.

Indexed as

DiagnosisManagement and outcomePatient characteristicsSpinal cord infarctionSpinal cord ischemia

Identifiers

PMID39372971
PMCPMC11450783

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.