Evidence map›Paper›PMID 39477451›Full record

ArticleBMJ case reports2024

Atypical presentation of arachnoid web causing paraparesis with absence of sensory symptoms.

Kyly M Hiatt, John Cauchi, Christopher Payne

Abstract readCase Reports
In one paragraph

Article in BMJ 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. 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

3 authors.

Kyly M HiattMedical School, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA kyly.hiatt@burrell.edu.ORCID http://orcid.org/0009-0001-2014-6328
John CauchiUNM Hospital, Albuquerque, New Mexico, USA.
Christopher PayneDepartment of Neurosurgery, San Juan Regional Medical Center, Farmington, New Mexico, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a man in his 60s with a dorsal thoracic arachnoid web spanning levels T6-T8. The patient presented with gait abnormalities, severe neuropathic lower back pain and mild urinary incontinence without sensory deficits. He underwent laminectomy with arachnoid web fenestration. At the 6-week postoperative follow-up appointment, he had increased muscle strength in his lower extremities and was able to walk without shuffling his feet, with a straight back and standing upright. This is a marked improvement from his previous hunched and shuffling gait. He has had partial resolution of his neuropathic low back pain. Arachnoid webs are often confused with other neurological disorders, most commonly idiopathic ventral cord herniation, which prolongs the time to surgical intervention. Eventual fenestration of our patient's web led to significant improvement in gait and partial relief of his neuropathic low back pain.

Indexed as

LaminectomyParaparesisArachnoidDiagnosis, DifferentialHumansLow Back PainMagnetic Resonance ImagingMaleMiddle AgedThoracic VertebraeTreatment OutcomeNeurological injuryPain (neurology)Spinal cord

Identifiers

PMID39477451
PMCPMC11557451

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.