Spinal Subdural Haematoma in A Patient After Dobutamine Stress Test: An Unusual Occurrence
Bibliographic record
Abstract
Spinal subdural haematoma is a rare entity and commonly due to spinal pathology. Its occurrence in patients with impaired coagulation has been reported. We report a case of spinal haematoma occurring after dobutamine stress test. Prompt diagnosis of such cases is required which can be done with MRI spine. Early intervention with surgery and removal of clot causing compression can prevent permanent disability. Our patient developed excruciating back pain and paraplegia after dobutamine stress test. Initially treated with antibiotics and fluids for suspected urinary tract infection, neuroimaging later revealed spinal haematoma. Though surgical evacuation resulted in some improvement in neurology, she was left with a significant disability. It can be concluded that spinal haematoma should be suspected in any patient who complains of severe back pain with neurological symptoms. It needs prompt diagnosis and treatment to prevent disability. doi:10.4021/jmc381w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".