Evidence map›Paper›PMID 39958789›Full record

ArticleNeurosurgery practice2023

Diagonal Earlobe Crease (Frank's Sign): a New Clinical Sign to Look for in Patients With Ruptured and Unruptured Intracranial Aneurysms? Patient Series.

Victor Ramzes Chavez-Herrera, Joel Abraham Velazquez-Castillo, Flavio Hernandez-Gonzalez, Josue Alejandro Cervantes-Gonzalez, Juan Luis Cruz-Rosales, Bayron Alexander Sandoval-Bonilla, Diego Tonathiu Soto-Rubio, Cristian Alberto Perez-Carrillo, Rabindranath Garcia-Lopez

Abstract readCase Reports
In one paragraph

Article in Neurosurgery practice, 2023. 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

9 authors.

Victor Ramzes Chavez-HerreraDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.ORCID https://orcid.org/0000-0002-7591-6916
Joel Abraham Velazquez-CastilloDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.
Flavio Hernandez-GonzalezDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.
Josue Alejandro Cervantes-GonzalezDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.
Juan Luis Cruz-RosalesDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.
Bayron Alexander Sandoval-BonillaDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.ORCID https://orcid.org/0000-0001-6819-3556
Diego Tonathiu Soto-RubioDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.ORCID https://orcid.org/0000-0003-1386-9605
Cristian Alberto Perez-CarrilloDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.
Rabindranath Garcia-LopezDepartment of Neurosurgery, Hospital de Especialidades, Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and importanceDiagonal earlobe crease (DELC, Frank's sign) and intracranial arterial aneurysms (IAA) have a pronounced association with atherosclerosis. Therefore, detecting DELC in patients with IAA could be potential for clinical and research use. CLINICAL PRESENTATION: During a 2-month period, we diagnosed 20 patients with intracranial arterial aneurysms. Sixteen (80%) were positive for DELC, 12 were female, and 4 were male (ages ranging from 32 to 68 years and a mean of 52 years). Eleven were unruptured and 5 were ruptured. We highlight cases 1, 7, and 8.

conclusionThe interesting tight association of DELC and IAAs to atherosclerosis and the overwhelming presence of DELC in patients with IAAs could lead to potentially associated DELC with the development, growth, and rupture of IAAs. As a result, important clinical and research information could be found.

Indexed as

Cerebrovascular diseaseDiagonal earlobe creaseFrank's signIntracranial aneurysmsPatient series

Identifiers

PMID39958789
PMCPMC11810030

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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.