Evidence map›Paper›PMID 37033593›Full record

ArticleCureus2023

Central Pontine Myelinolysis With Carbamazepine-Induced Syndrome of Inappropriate Antidiuretic Hormone and Its Management: A Case Report and Literature Review.

Abia Joseph, Tass Sayeed, Dev K Patel, Sanathan Aiyadurai, Zainab Shahbaz, Sambasiva Rao Mettela, Tulika Garg, Rishika Gadde, Datiobong Udoeyop, Aadil Khan

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2023. 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
0.8field-weighted citation impact, top 26% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

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 at 1 institution in 6 countries.

Abia JosephSurgery, John F. Kennedy University School of Medicine, Illinois, USA.
Tass SayeedInternal Medicine, Windsor University School of Medicine, Chicago, USA.
Dev K PatelInternal Medicine, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad, IND.
Sanathan AiyaduraiInternal Medicine, Caribbean Medical University, Willemstad, CUW.
Zainab ShahbazInternal Medicine, Windsor University School of Medicine, Chicago, USA.
Sambasiva Rao MettelaInternal Medicine, Katuri Medical College and Hospital, Tenali, IND.
Tulika GargInternal Medicine, Government Medical College & Hospital, Chandigarh, Chandigarh, IND.
Rishika GaddeInternal Medicine, Jawaharlal Nehru Medical College, Belgaum, IND.
Datiobong UdoeyopSurgery, Richmond Gabriel University, Chicago, USA.
Aadil KhanInternal Medicine, Lala Lajpat Rai Hospital, Kanpur, IND.
University of Richmond · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aggressive treatment of hyper or hypoosmolar conditions can trigger osmotic demyelination syndrome. We describe the case of a 53-year-old male who began using carbamazepine to treat bipolar affective disorder and was later diagnosed with carbamazepine-induced syndrome of inappropriate antidiuretic hormone secretion. The patient's mental state gradually improved once the hyponatremia was corrected using 3% normal saline and supportive therapy. The patient presented to the outpatient clinic with confusion and altered sensorium. Brain computed tomography showed diffuse cerebral atrophy and periventricular ischemia demyelination alterations, and magnetic resonance imaging showed an enhanced section in the brainstem that included the pons, suggesting osmotic demyelination alterations. Ventilatory support and supportive therapy were initiated, and hyponatremia was rectified. Although the patient did well with the treatment, his prognosis was still dismal, so he was sent home with instructions to follow up.

Indexed as

acute euvolemic hyponatremiaantidiuretic hormonebipolar affective disorderextrapontine myelinolysis (epm)osmotic demyelination syndrome (ods)

Identifiers

PMID37033593
PMCPMC10075004
OpenAlexW4323312317

What Socratic holds

Textmetadata
LicenceCC BY
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.