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Record W4412545757 · doi:10.1136/bcr-2024-264275

Eagle syndrome presenting with cardiac sinoatrial arrest and recurrent syncope

2025· article· en· W4412545757 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBMJ Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicOropharyngeal Anatomy and Pathologies
Canadian institutionsRegina General Hospital
Fundersnot available
KeywordsAsystoleMedicineSyncope (phonology)CardiologyInternal medicineReflexAnesthesiaStimulation

Abstract

fetched live from OpenAlex

A man in his mid-40s presented with recurrent episodes of syncope, some of which were triggered by neck extension. In-hospital telemetry documented sinoatrial arrest with a prolonged asystole of 11 s. Computed tomography of the neck demonstrated bilateral elongation of the styloid processes consistent with Eagle syndrome (ES). Vagal reflex stimulation was suspected as the underlying mechanism. A dual-chamber pacemaker was implanted prior to surgical styloidectomy. At 3-month follow-up, pacemaker interrogation revealed 2% pacing activity, with no further syncopal episodes. This case highlights an unusual cardioinhibitory presentation of ES and supports early pacing when surgical resolution of vagal stimulation remains uncertain.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.029
Threshold uncertainty score0.433

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.020
GPT teacher head0.312
Teacher spread0.292 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it