Evidence map›Paper›PMID 40837318›Full record

ArticleSurgical neurology international2025

Cough syncope and central sleep apnea caused by CM1 with atlas assimilation in adult: An illustrative case.

Daigo Aso, Hisaaki Uchikado, Takehiro Makizono, Jin Kikuchi, Nobuhiro Hata

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 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

5 authors.

Daigo AsoDepartment of Neurosurgery, Saiki Central Hospital, Saiki, Japan.
Hisaaki UchikadoDepartment of Neurosurgery, Uchikado Neuro-Spine Clinic, Fukuoka, Japan.
Takehiro MakizonoDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Japan.
Jin KikuchiDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Japan.
Nobuhiro HataDepartment of Neurosurgery, Oita University Faculty of Medicine, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cough syncope, central sleep apnea (CSA), and Chiari type 1 malformations (CM1) with atlas assimilation are very rare in adults. Case Description: A 48-year-old male taxi driver fainted. He was neurologically intact, but tested positive for mild sleep apnea confirmed by a polysonogram. The magnetic resonance imaging diagnosed a CM1 with syringomyelia and atlas occipitalization. The patient underwent an uneventful foramen magnum decompression/C1 laminectomy and remained intact 7 years later. Conclusion: A 48-year-old male presented after fainting with cough syncope, CSA and a CM1; following foramen magnum decompression/C1 laminectomy, the patient remained neurologically stable for the next 7 years.

Indexed as

AdultAtlas assimilationCentral sleep apneaChiari type1 malformationCough syncopeSyringomyelia

Identifiers

PMID40837318
PMCPMC12361679

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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.