Evidence map›Paper›PMID 41798443›Full record

ArticleCureus2026

Traumatic Cervical Myelopathy Masked by Alcohol Intoxication and Diagnostic Anchoring.

Abraham Gabriel, Claudia Gabriel, Maria Georgi, Michael Milad, Monica Kelada

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. 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.

Abraham GabrielOphthalmology, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, GBR.
Claudia GabrielOtolaryngology-Head and Neck Surgery, Kings College Hospital, London, GBR.
Maria GeorgiOphthalmology, Chelsea and Westminster Hospital NHS Foundation Trust, London, GBR.
Michael MiladOncology, West Hertfordshire NHS Trust, Watford, GBR.
Monica KeladaMedicine, Imperial College Healthcare NHS Trust, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute alcohol intoxication often masks traumatic injuries, leading to diagnostic anchoring and delayed management. We report the case of a 61-year-old male presenting with sudden-onset quadriplegia. Initial clinical suspicion favoured a cerebrovascular accident or Guillain-Barré syndrome due to the patient's amnesia about a fall and the presence of new-onset atrial fibrillation. A significant diagnostic delay occurred until collateral history from peers revealed a "faceplant" injury, and the retrospective identification of a cutaneous imprint from the patient's eyeglasses confirmed a hyperextension mechanism. Despite an initial report of a fracture, subsequent imaging confirmed an isolated, severe cord contusion from C3 to C6 without associated bony disruption. This report highlights the importance of the fundamentals of the diagnostic process, including comprehensive history gathering and a thorough bedside examination.

Indexed as

acute hyperextension-induced myelopathyautonomic nervous system dysfunctioncompression neuropathyethanol intoxicationhyperextension of the neckintensive care and invasive monitoringlower limb paralysismri in spinal traumaspinal cord injuryupper limb paralysis

Identifiers

PMID41798443
PMCPMC12961416

What OpenQuestion holds

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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.