Evidence map›Paper›PMID 42813047›Full record

ArticleCase reports in neurological medicine2026

Lightning Strikes Twice in the Same Place: Mitochondrial Myopathy and Malignant Hyperthermia-A Case Report.

Rafaela Souto E Souza de Melo, Jorge Kiyoshi Mitsunaga Júnior, André Macedo Serafim da Silva, Brandow Willy Souza, Joilson Moura Santos, Pamela Vieira Andrade, Acary Souza Bulle Oliveira, Claudia Ferreira da Rosa Sobreira, Mariz Vainzof, Helga Cristina Almeida da Silva

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. 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

10 authors.

Rafaela Souto E Souza de MeloDepartment of Anesthesiology, Federal University of São Paulo, São Paulo, Brazil, unifesp.br.ORCID https://orcid.org/0000-0003-4323-6059
Jorge Kiyoshi Mitsunaga JúniorDepartment of Anesthesiology, Federal University of São Paulo, São Paulo, Brazil, unifesp.br.ORCID https://orcid.org/0000-0003-0261-4359
André Macedo Serafim da SilvaDepartment of Neurology, University of São Paulo, São Paulo, São Paulo, Brazil, usp.br.ORCID https://orcid.org/0000-0002-5792-5878
Brandow Willy SouzaDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil, usp.br.ORCID https://orcid.org/0000-0002-7066-262X
Joilson Moura SantosDepartment of Anesthesiology, Federal University of São Paulo, São Paulo, Brazil, unifesp.br.ORCID https://orcid.org/0000-0002-0850-5893
Pamela Vieira AndradeDepartment of Anesthesiology, Federal University of São Paulo, São Paulo, Brazil, unifesp.br.ORCID https://orcid.org/0000-0002-1095-4807
Acary Souza Bulle OliveiraDepartment of Neurology, University of São Paulo, São Paulo, São Paulo, Brazil, usp.br.
Claudia Ferreira da Rosa SobreiraDepartment of Neurology, University of São Paulo, Campus Ribeirao Preto Ribeirao Preto, São Paulo, Brazil, usp.br.ORCID https://orcid.org/0000-0002-7420-1644
Mariz VainzofDepartment of Genetics and Evolutionary Biology, University of São Paulo, São Paulo, Brazil, usp.br.ORCID https://orcid.org/0000-0002-2797-0782
Helga Cristina Almeida da SilvaDepartment of Anesthesiology, Federal University of São Paulo, São Paulo, Brazil, unifesp.br.ORCID https://orcid.org/0000-0002-9372-7019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitochondrial disease predominantly affects tissues reliant on aerobic metabolism, with an incidence of 1 in 4000 individuals and a broad spectrum of clinical presentations. Malignant hyperthermia is a pharmacogenetic disease in which a hypermetabolic reaction is triggered in malignant hyperthermia-susceptible patients by specific anesthetic agents. We present a clinical case of a fatal atypical reaction to anesthesia, where mitochondrial dysfunction was identified in the mother, and a variant in the

Identifiers

PMID42813047
PMCPMC13621819

What OpenQuestion holds

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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.