Evidence map›Paper›PMID 35855086›Full record

ArticleJournal of neurosurgery. Case lessons2021

Human herpesvirus DNA occurrence in intracranial aneurysmal wall: illustrative case.

Nícollas Nunes Rabelo, Antonio Carlos Samaia da Silva Coelho, João Paulo Mota Telles, Giselle Coelho, Caio Santos de Souza, Tania Regina Tozetto-Mendoza, Natan Ponzoni Galvani de Oliveira, Paulo Henrique Braz-Silva, Manoel Jacobsen Teixeira, Eberval Gadelha Figueiredo

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2021. 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, top 86% of its field
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 citations in OpenAlex.

  1. Review
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 at 1 institution in 2 countries.

Nícollas Nunes RabeloDepartment of Neurosurgery.
Antonio Carlos Samaia da Silva CoelhoDepartment of Neurosurgery.
João Paulo Mota TellesDepartment of Neurosurgery.
Giselle CoelhoDepartment of Neurosurgery.
Caio Santos de SouzaLaboratory of Virology (LIM-52), Institute of Tropical Medicine of São Paulo, School of Medicine, and.
Tania Regina Tozetto-MendozaLaboratory of Virology (LIM-52), Institute of Tropical Medicine of São Paulo, School of Medicine, and.
Natan Ponzoni Galvani de OliveiraLaboratory of Virology (LIM-52), Institute of Tropical Medicine of São Paulo, School of Medicine, and.
Paulo Henrique Braz-SilvaLaboratory of Virology (LIM-52), Institute of Tropical Medicine of São Paulo, School of Medicine, and.
Manoel Jacobsen TeixeiraDepartment of Neurosurgery.
Eberval Gadelha FigueiredoDepartment of Neurosurgery.
Instituto de Medicina Tropical · PY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubarachnoid hemorrhages secondary to intracranial aneurysms (IAs) are events of high mortality. These neurological vascular diseases arise from local and systemic inflammation that culminates in vessel wall changes. They may also have a possible relationship with chronic viral infections, such as human herpesvirus (HHV), and especially Epstein-Barr virus (EBV), which causes several medical conditions. This is the first description of the presence of HHV deoxyribonucleic acid (DNA) in a patient with IA. OBSERVATIONS: A 61-year-old woman with a downgraded level of consciousness underwent radiological examinations that identified a 10-mm ruptured aneurysm in the anterior communicating artery. A microsurgery clip was performed to definitively treat the aneurysm and occurred without surgical complications. Molecular analysis of the material obtained revealed the presence of EBV DNA in the aneurysm wall. The patient died 21 days after admission due to clinical complications and brain swelling. LESSONS: This is the first description of the presence of herpesvirus DNA in a patient with IA, presented in 2.8% of our data. These findings highlight that viral infection may contribute to the pathophysiology and is an additional risk factor for IA formation, progression, and rupture by modulating vessel wall inflammation and structural changes in chronic infections.

Indexed as

CMV = cytomegalovirusDNA = deoxyribonucleic acidEBV = Epstein–Barr virusEC = endothelial cellHC-FMUSP = São Paulo School of Medicine Clinics HospitalHHVHHV = human herpesvirusHSV = herpes simplex virushuman herpesvirusIA = intracranial aneurysminflammationintracranial aneurysmintracranial hemorrhagePCR = polymerase chain reactionqPCR = quantitative polymerase chain reactionsubarachnoid hemorrhageVZV = varicella zoster virusWSS = wall shear stress

Identifiers

PMID35855086
PMCPMC9265188
OpenAlexW3196076662

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.