Evidence map›Paper›PMID 40979073›Full record

ArticleNMC case report journal2025

Successful Delayed Endovascular Therapy for Multiple Lower Nerve Palsy Caused by Spontaneous Internal Carotid Artery Dissection.

Nobuhiko Arai, Kazunari Yachi, Ryutaro Ishihara, Takao Fukushima

Abstract readCase Reports
In one paragraph

Article in NMC case report journal, 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

4 authors.

Nobuhiko AraiDepartment of Neurosurgery, Takashimadaira General Central Hospital, Tokyo, Japan.
Kazunari YachiDepartment of Neurosurgery, Takashimadaira General Central Hospital, Tokyo, Japan.
Ryutaro IshiharaDepartment of Neurosurgery, Takashimadaira General Central Hospital, Tokyo, Japan.
Takao FukushimaDepartment of Neurosurgery, Takashimadaira General Central Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous internal carotid artery dissection is a relatively common cause of stroke in younger patients. The occurrence of spontaneous internal carotid artery dissection with lower cranial nerve palsy is quite rare. However, few studies have reported its natural course or an effective treatment policy. We received a 42-year-old man with spontaneous internal carotid artery dissection presenting with multiple lower cranial nerve palsies. He exhibited difficulty in swallowing, dysarthria, and tongue deviation. After 2 months of conservative therapy, stent placement with coils was performed because the symptoms did not improve. The patient was discharged 4 days after the operation without any complications and showed evident improvement in symptoms. We reviewed cases of multiple lower cranial nerve palsies reported in the literature up to January 2025 and discussed the appropriate period of observation and the effectiveness of endovascular therapy for spontaneous internal carotid artery dissection with multiple lower cranial nerve palsies.

Indexed as

carotid stentingendovascular therapylower nerve palsypseudoaneurysmspontaneous carotid artery dissection

Identifiers

PMID40979073
PMCPMC12444146

What OpenQuestion holds

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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.