Evidence map›Paper›PMID 36859406›Full record

ReviewNeurology2023

Clinical Reasoning: Acute Monocular Vision Loss in a Patient With Ipsilateral Extracranial Chronic Internal Carotid Artery Occlusion.

Akanksha Agrawal, Serena Marita Lazzarin, Daniele Ajello, Noemi Baronetto, Efrem Civilini, Simona Marcheselli, Umberto Pensato

Abstract readCase ReportsReview
In one paragraph

Review in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Akanksha AgrawalFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy.
Serena Marita LazzarinFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy.
Daniele AjelloFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy.
Noemi BaronettoFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy.
Efrem CiviliniFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy.ORCID 0000-0001-5180-8008
Simona MarcheselliFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy.
Umberto PensatoFrom the Humanitas University (A.A., N.B., E.C.); IRCCS Humanitas Research Hospital (S.M.L., D.A., S.M., U.P.), Milan; Università dell'Insubria (N.B.), Varese, Italy. umbertopensato91@gmail.com.ORCID 0000-0002-4042-4735

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a middle-aged man who presented with acute painless monocular vision loss. His medical history was remarkable for chronic total occlusion of the ipsilateral internal carotid artery (ICA) and a recent carotid endarterectomy (CEA) on the contralateral ICA. In a stepwise multidisciplinary approach assessment, we review the differential diagnosis of acute vision loss and investigate how the patient's intracranial and extracranial hemodynamic reorganization after chronic ICA occlusion may affect the clinical reasoning. Early complications of CEA and the differential diagnosis of new-onset anisocoria are also discussed.

Indexed as

Carotid Artery DiseasesCarotid StenosisEndarterectomy, CarotidCarotid Artery, InternalClinical ReasoningHumansMaleMiddle AgedVision, Monocular

Identifiers

PMID36859406
PMCPMC10382258

What Socratic 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 Socratic graph.