Evidence map›Paper›PMID 41036043›Full record

ReviewSurgical neurology international2025

Trochlear nerve palsy associated with intracranial aneurysms: Scoping review.

Ahmed Muthana, Zahraa A Alsubaihawi, Bandar M Alhadeethi, Zahraa I Al-Anssari, Mohammedbaqer Ali Al-Ghuraibawi, Abdullah O Al-Jumaili, Aktham O Al-Khafaji, Zinah A Alaraji, Haneen A Salih, Mayur Sharma and 1 more

Abstract readReview
In one paragraph

Review in Surgical neurology international, 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

11 authors.

Ahmed MuthanaDepartment of Neurosurgery, University of Baghdad, Karbala, Iraq.
Zahraa A AlsubaihawiDepartment of Neurosurgery, University of Baghdad, Karbala, Iraq.
Bandar M AlhadeethiDepartment of Neurosurgery, University of Baghdad, Karbala, Iraq.
Zahraa I Al-AnssariDepartment of Neurosurgery, University of Baghdad, Karbala, Iraq.
Mohammedbaqer Ali Al-GhuraibawiDepartment of Neurosurgery, University of Warith Al-Anbiyaa, Karbala, Iraq.
Abdullah O Al-JumailiDepartment of Neurosurgery, College of Medicine, University of Nineveh, Nineveh, Iraq.
Aktham O Al-KhafajiDepartment of Neurosurgery, University of Baghdad, Karbala, Iraq.
Zinah A AlarajiDepartment of Neurosurgery, College of Medicine, University of Al-Nahrain, Baghdad, Iraq.
Haneen A SalihDepartment of Molecular and Medical Biotechnology, Al-Nahrain University, Baghdad, Iraq.
Mayur SharmaDepartment of Neurosurgery, University of Louisville, Kentucky, Ohio, United States.
Samer S HozDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Trochlear nerve palsy (TNP) in patients with ruptured or unruptured intracranial aneurysms (IA) can result from the disease process or its treatment. We systematically reviewed the literature on TNP in patients with IA. Methods: PubMed, ScienceDirect, and Web of Science were searched according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data extraction and quality assessment were performed according to pre-established guidelines. Results: Our review yielded 29 studies out of 273 retrieved articles. A total of 134 patients with TNP and IA were included in our study. The mean age was 55.35 years and females accounted for 78%. Among the TNP cases, 91% harbored aneurysms located in the internal carotid artery and posterior communicating artery, and 93% of these aneurysms were large to giant-sized aneurysms. Out of the total cases, the vast majority (96.2%) exhibited TNP at the time of their initial presentation. Only a small proportion ( Conclusion: TNPs are correlated with IAs, and this correlation depends on the location and size of the aneurysms.

Indexed as

Aneurysm-induced trochlear nerve palsyFourth cranial nerve palsyIntracranial aneurysmTrochlear nerve palsy

Identifiers

PMID41036043
PMCPMC12482753

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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.