Evidence map›Paper›PMID 42621413›Full record

ArticleCase reports in neurological medicine2026

Cryptogenic Multifocal Infarctions Involving Brain and Spinal Cord in a Patient With Patent Foramen Ovale: A Case Report.

Mohamed Zuhail Kizhakka Peediyakkal, Nabil Sherif Mahmood, Ashraf Abdulla Molokhia, Bara Mahmoud F Alqudah, Navaf K Mohamedali, Georgy Itty Paniker, Ahmed Daniyal Nawaz, Abdulqadir Nashwan

Abstract read
In one paragraph

Article in Case reports in neurological medicine, 2026. 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

8 authors.

Mohamed Zuhail Kizhakka PeediyakkalCritical Care Medicine, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0000-0002-3242-4217
Nabil Sherif MahmoodClinical Imaging, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0000-0002-7337-2724
Ashraf Abdulla MolokhiaCritical Care Medicine, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0000-0002-8974-1862
Bara Mahmoud F AlqudahCritical Care Medicine, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0000-0001-6697-5853
Navaf K MohamedaliCritical Care Medicine, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0009-0007-3546-0583
Georgy Itty PanikerCritical Care Medicine, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0009-0008-2710-7912
Ahmed Daniyal NawazMedicine, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0000-0001-9424-2665
Abdulqadir NashwanNursing and Midwifery Research, Hamad Medical Corporation, Doha, Qatar, hamad.qa.ORCID https://orcid.org/0000-0003-4845-4119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 46-year-old female with a history of gestational diabetes mellitus (GDM) who presented with acute onset flaccid quadriplegia, respiratory distress, and multifocal cerebral infarctions. Initial clinical suspicion favored inflammatory myelopathy; however, advanced neuroimaging demonstrated a long-segment anterior spinal cord infarction extending from the cervical to upper thoracic region, along with bilateral cerebellar and occipitoparietal infarcts. A patent foramen ovale and hypoplastic vertebral artery suggested a possible embolic and hemodynamic mechanism. This case illustrates the diagnostic complexity in distinguishing vascular infarction from inflammatory myelopathies and underscores the importance of thorough imaging and vascular workup in acute flaccid paralysis.

Identifiers

PMID42621413
PMCPMC13487804

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.