Evidence map›Paper›PMID 40147836›Full record

ArticleAJNR. American journal of neuroradiology2025

Revisiting a Rare Anomaly Described 25 Years Ago in the

Andrew L Callen, Ashoke R Khanwalkar, Michael L Cunningham, Samantha L Pisani Petrucci, Debayan Bhaumik, Danielle Wilhour, Premal Trivedi, Peter Lennarson, David A Zander

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Andrew L CallenFrom the Department of Radiology (A.L.C., S.L.P.P., D.B., D.A.Z.), Neuroradiology Section, University of Colorado Anschutz Medical Campus, Aurora Colorado andrew.callen@cuanschutz.edu.ORCID https://orcid.org/0000-0003-2315-7767
Ashoke R KhanwalkarDepartment of Otolaryngology-Head and Neck Surgery (A.R.K.).
Michael L CunninghamDepartment of Pediatrics (M.L.C.), Seattle Children's Craniofacial Center, Center of Developmental Biology and Regenerative Medicine and Division of Craniofacial Medicine, University of Washington, Seattle, Washington.
Samantha L Pisani PetrucciFrom the Department of Radiology (A.L.C., S.L.P.P., D.B., D.A.Z.), Neuroradiology Section, University of Colorado Anschutz Medical Campus, Aurora Colorado.
Debayan BhaumikFrom the Department of Radiology (A.L.C., S.L.P.P., D.B., D.A.Z.), Neuroradiology Section, University of Colorado Anschutz Medical Campus, Aurora Colorado.ORCID https://orcid.org/0000-0002-9324-9256
Danielle WilhourDepartments of Neurology (A.L.C., D.W.), University of Colorado Anschutz Medical Campus, Aurora Colorado.ORCID https://orcid.org/0000-0001-5685-3510
Premal TrivediDepartment of Radiology (P.T.), Interventional Radiology Section, University of Colorado Anschutz Medical Campus, Aurora, Colorado.ORCID https://orcid.org/0000-0002-3219-0393
Peter LennarsonDepartment of Neurosurgery (P.L.), University of Colorado Anschutz Medical Campus, Aurora, Colorado.
David A ZanderFrom the Department of Radiology (A.L.C., S.L.P.P., D.B., D.A.Z.), Neuroradiology Section, University of Colorado Anschutz Medical Campus, Aurora Colorado.ORCID https://orcid.org/0000-0002-0808-307X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report presents a unique case of a 39-year-old woman with a congenital unilateral aplasia of the middle cranial fossa floor associated with atypical hemifacial microsomia, initially described in a case report at age 14, who later developed a transosseous CSF-lymphatic fistula through the C1 vertebral body. Dynamic CT cisternography confirmed the diagnosis, and a transnasal percutaneous fibrin glue occlusion successfully reversed the patient's brain sag and improved her symptoms. This case highlights the evolving understanding of CSF dynamics and the diagnostic and therapeutic challenges posed by rare CSF leak variants.

Indexed as

Cranial Fossa, MiddleFistulaGoldenhar SyndromeIntracranial HypotensionAdultFemaleHumansTomography, X-Ray Computed

Identifiers

PMID40147836
PMCPMC12633690

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.