Evidence map›Paper›PMID 42578198›Full record

ArticleCureus2026

Autonomic Dysregulation Attributed to Vertebral Artery Insufficiency Secondary to Subclavian Steal Syndrome: A Case Report.

Lara Zargarian, Hoang Nguyen, Manbir Sanghera, Arman Megerdechyan, William S Hughes

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.

Lara ZargarianMedicine, Kansas City University, Joplin, USA.
Hoang NguyenMedicine, Kansas City University, Joplin, USA.
Manbir SangheraMedicine, Kansas City University, Joplin, USA.
Arman MegerdechyanMedicine, Kansas City University, Joplin, USA.
William S HughesFamily Medicine, Freeman Health System, Joplin, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anatomic malformation as seen in subclavian steal syndrome leads to an alteration in the body's autonomic regulatory pattern, influencing varying physical manifestations. The autonomic nervous system provides situational regulatory feedback to the body, maintaining the body's desired point of homeostasis. We report the case of a 68-year-old male who initially came in with X-rays indicating retrolisthesis and calcifications in his carotids. A left-sided carotid bruit was also noted, as well as right-sided upper extremity weakness. Continued imaging studies indicated structural changes to his cervical regions and continued calcifications in the remainder of his arterial supply branching off of his carotid arteries. The patient's denial of surgical intervention led to treatments focused on symptomatic control until more conclusive data could be collected and interpreted.

Indexed as

autonomic dysregulationperipheral circulationretrograde bloodflowsubclavian steal syndromevertebral artery insufficiency

Identifiers

PMID42578198
PMCPMC13456664

What OpenQuestion holds

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LicenceCC BY
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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.