ArticleFrontiers in surgery2026
Case Report:
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: Catastrophic arteriovenous malformation (AVM) rupture during the second trimester presents a formidable clinical dilemma, necessitating a delicate balance between maternal resuscitation and fetal preservation. This challenge is acute when uncal herniation precludes extensive diagnostic workup. Material and methods: We report a staged "damage control" strategy in a 27-year-old gravida (26 weeks) who presented with acute neurologic collapse, anisocoria, and coma. In advance of definitive angiographic characterization, we proceeded directly to emergency decompressive craniectomy to reverse impending herniation. Postpartum angiography revealed a small, eloquent Spetzler-Martin Grade II AVM. Definitive embolization (Onyx-18) was deferred until two months postpartum to ensure hemodynamic stability. Results: The emergency decompression successfully stabilized the patient. Following 12 weeks of supportive care, the pregnancy culminated in a successful term delivery. The patient achieved a full neurological recovery (modified Rankin Scale (mRS) score of 0), and the infant remained healthy. Conclusion: This case substantiates that in the context of pregnancy complicated by herniation, neurosurgical intervention must decouple acute decompression from vascular treatment. A staged approach may facilitate maternal neurological recovery while preserving fetal viability.
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Registered trials
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.