Evidence map›Paper›PMID 40719929›Full record

ArticleThe ultrasound journal2025

Critical upward shift of intracranial pressure levels in extremely obese patients; normalization due to bariatric surgery.

Nabil Al Shammas, Robert Luck, Sophie Schumann, Dragana Köhler, Lutz Mirow, Bernhard Rosengarten

Abstract read
In one paragraph

Article in The ultrasound journal, 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. Trial
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

6 authors.

Nabil Al ShammasDepartment of Neurology, Chemnitz Medical Center, Flemmingstraße 2, 09116, Chemnitz, Germany.
Robert LuckDepartment of General and Visceral Surgery, Chemnitz Medical Center, Campus of the Medical Faculty of the Technical University Dresden, Flemmingstraße 2, 09116, Chemnitz, Germany.
Sophie SchumannDepartment of Neurology, Chemnitz Medical Center, Flemmingstraße 2, 09116, Chemnitz, Germany.
Dragana KöhlerDepartment of Neurology, Chemnitz Medical Center, Flemmingstraße 2, 09116, Chemnitz, Germany.
Lutz MirowDepartment of General and Visceral Surgery, Chemnitz Medical Center, Campus of the Medical Faculty of the Technical University Dresden, Flemmingstraße 2, 09116, Chemnitz, Germany.
Bernhard RosengartenDepartment of Neurology, Chemnitz Medical Center, Flemmingstraße 2, 09116, Chemnitz, Germany. b.rosengarten@skc.de.ORCID http://orcid.org/0009-0002-1169-3212

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncrease in body mass index (BMI) is a risk factor for idiopathic intracranial hypertension (IIH). The matter of body weight and intracranial pressure (ICP) in clinically asymptomatic obese patients is unknown. We aimed at studying the relationship of ICP and BMI pre- and post-surgery in obese patients undergoing bariatric surgery.

methodsPatients with a BMI > 35 kg/m

results54 patients (43 female; 44 ± 11 years old) were included. Pre-surgery BMI (46 ± 6 kg/m

conclusionAssuming the low incidence of IIH, the frequency of pathologic and borderline ICP values in obese patients was unexpectedly high. Reduction of ICP with weight loss followed a simple regression line pointing to a mechanistic effect of increased body weight on ICP. The constancy of pathologic ONSD values might be due to a fixed dilatation of the optic nerve sheath due to the duration of obesity.

Indexed as

Bariatric surgeryIntracranial hypertensionNon-invasive intracranial pressureObesityTranscranial Doppler

Identifiers

PMID40719929
PMCPMC12304339

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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.