Evidence map›Paper›PMID 42851973›Full record

ArticleCureus2026

Delayed Cervical and Multifocal Spinal Metastases From Rectal Adenocarcinoma: A Case Report of Severe Canal Stenosis, Neurological Decline, and Septic Shock.

Sandra Porter-Edwards, Lavon Edwards

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

2 authors.

Sandra Porter-EdwardsHealth Education, Kaiser Permanente, Atlanta, USA.
Lavon EdwardsClinical Science, TrueMed Health Institute, Atlanta, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 76-year-old male with a past medical history significant for rectal adenocarcinoma diagnosed in 2014 presented to the emergency department with worsening left arm pain, generalized weakness, and two syncopal episodes. The patient previously underwent sigmoid colectomy followed by low anterior resection and permanent colostomy. Imaging revealed diffuse spinal metastases with extensive epidural tumor causing multilevel severe canal stenosis and spinal cord compression. Additional findings included hepatic metastases, bilateral pleural effusions, supraclavicular nodal disease, and suspected leptomeningeal involvement. This case highlights the rare but devastating pattern of colorectal cancer metastasis to the spine and underscores the importance of early recognition of metastatic epidural disease, multidisciplinary management coordination, palliative care integration.

Indexed as

anemiamalnourishedneurological declinepost colostomyrectal adenocarcinomaspinal canal stenosisspinal metastases

Identifiers

PMID42851973
PMCPMC13647968

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.