Evidence map›Paper›PMID 40636601›Full record

ArticleCureus2025

Thrombosed Middle Cerebral Artery Bifurcation Aneurysm Presenting as Acute Ischemic Stroke.

Nicholas Dietz, Jasmine Omair, Vivien Dang, Kevin John, Brian J Williams, Isaac J Abecassis, Dale Ding

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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

7 authors.

Nicholas DietzNeurosurgery, University of Louisville, Louisville, USA.
Jasmine OmairNeurosurgery, University of Louisville, Louisville, USA.
Vivien DangNeurosurgery, University of Louisville, Louisville, USA.
Kevin JohnRadiology, Stony Brook University, Stony Brook, USA.
Brian J WilliamsNeurosurgery, University of Louisville, Louisville, USA.
Isaac J AbecassisNeurosurgery, University of Louisville, Louisville, USA.
Dale DingNeurosurgery, University of Louisville, Louisville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke caused by a thrombosed intracranial aneurysm is a rare clinical condition that presents distinct treatment challenges. We report the case of a 69-year-old woman with vascular comorbidities who was found unresponsive and presented with acute left-sided hemiplegia, aphasia, and rightward gaze deviation. Imaging revealed a large, unruptured, thrombosed aneurysm at the right middle cerebral artery bifurcation, with occlusion of the parent M1 segment. The patient underwent a right pterional craniotomy for resection of the thrombosed aneurysm and surgical clipping of three additional intracranial aneurysms. This case underscores the importance of including aneurysmal thrombosis in the differential diagnosis of ischemic stroke. Although management is complex, surgical resection and clipping of thrombosed aneurysms may offer a viable treatment approach.

Indexed as

ischemic strokem1 occlusionmca aneurysmparent artery occlusionthrombosed aneurysm

Identifiers

PMID40636601
PMCPMC12239046

What OpenQuestion holds

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LicenceCC BY
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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.