Evidence map›Paper›PMID 39375744›Full record

ReviewJournal of medical case reports2024

Ectatic vertebral artery associated medullary compression treated with microvascular decompression: a case report and review of literature.

Jorrdan N Bissell, Brandon Edelbach, Vadim Gospodarev, Kenneth M De Los Reyes, Promod Pillai

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 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

5 authors.

Jorrdan N BissellDepartment of General Surgery, Loma Linda University, Loma Linda, CA, USA.
Brandon EdelbachSchool of Medicine, Loma Linda University, Loma Linda, CA, USA.
Vadim GospodarevDepartment of Neurosurgery, Loma Linda University Medical Center, 11234 Anderson Street, Room 2562A, Loma Linda, CA, 92354, USA.
Kenneth M De Los ReyesDepartment of Neurosurgery, Loma Linda University Medical Center, 11234 Anderson Street, Room 2562A, Loma Linda, CA, 92354, USA.
Promod PillaiDepartment of Neurosurgery, Loma Linda University Medical Center, 11234 Anderson Street, Room 2562A, Loma Linda, CA, 92354, USA. rpromodkumar@llu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVertebral artery compression syndrome is a rare condition defined as the clinical presentation of dizziness, vertigo, ataxia, dysarthria, dysphagia, progressive or acute paralysis, hemisensory loss, and cervical myelopathy secondary to compression of the medulla and upper spinal cord by the vertebral artery. CASE DESCRIPTION: Here we describe a 57-year-old Mexican-American male with bulbar symptoms, positional vertigo, and diplopia. The patient's symptoms were managed through microsurgical decompression of the medulla utilizing a far lateral transcondylar approach. The patient reported clinical improvement on follow-up.

conclusionThis case underscores the clinical complexity and heterogeneity of this rare neurovascular pathology and the importance of elucidating the pathophysiological mechanisms underlying the symptomatic presentation of vertebral artery compression syndrome.

Indexed as

Medulla OblongataMicrovascular Decompression SurgeryVertebral ArteryDiplopiaHumansMagnetic Resonance ImagingMaleMiddle AgedSpinal Cord CompressionTreatment OutcomeVertebrobasilar InsufficiencyVertigoEctatic Vertebral ArteryFar lateral partial transcondylar approachMicrosurgical decompressionVertebral artery compression syndrome

Identifiers

PMID39375744
PMCPMC11460100

What OpenQuestion holds

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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.