{"id":"https://openalex.org/W1972673121","doi":"https://doi.org/10.1056/nejm197712152972407","title":"Case 50-1977","display_name":"Case 50-1977","publication_year":1977,"publication_date":"1977-12-15","ids":{"openalex":"https://openalex.org/W1972673121","doi":"https://doi.org/10.1056/nejm197712152972407","mag":"1972673121","pmid":"https://pubmed.ncbi.nlm.nih.gov/917090"},"language":"en","primary_location":{"id":"doi:10.1056/nejm197712152972407","doi":"https://doi.org/10.1056/nejm197712152972407","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm197712152972407","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016320511","display_name":"Richard C. Cabot","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Richard C. Cabot","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109258369","display_name":"Robert E. Scully","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert E. Scully","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033255314","display_name":"James J. Galdabini","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"James J. Galdabini","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023274883","display_name":"Betty U. McNeely","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Betty U. McNeely","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014751755","display_name":"John T. Harrington","orcid":"https://orcid.org/0000-0001-5021-4320","observed_orcids":["https://orcid.org/0000-0001-5021-4320"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John T. Harrington","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5019248592","display_name":"Robert B. Colvin","orcid":"https://orcid.org/0000-0002-4493-4150","observed_orcids":["https://orcid.org/0000-0002-4493-4150"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert B. Colvin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.7193,"has_fulltext":false,"cited_by_count":16,"citation_normalized_percentile":{"value":0.72569492,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"297","issue":"24","first_page":"1337","last_page":"1344"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.7728999853134155,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.7728999853134155,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.0215000007301569,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.0210999995470047,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/kidney-failure","display_name":"renal failure","score":0.8379999995231628},{"id":"https://openalex.org/keywords/warfarin","display_name":"warfarin","score":0.6790000200271606},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.6019999980926514},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.3580000102519989},{"id":"https://openalex.org/keywords/transient-ischemic-attack","display_name":"transient ischemic attack","score":0.6890000104904175},{"id":"https://openalex.org/keywords/dysarthria","display_name":"dysarthria","score":0.6710000038146973},{"id":"https://openalex.org/keywords/paresthesia","display_name":"paresthesia","score":0.7979999780654907},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.5099999904632568},{"id":"https://openalex.org/keywords/hemiparesis","display_name":"hemiparesis","score":0.6880000233650208},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.4880000054836273}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9620365500450134},{"id":"https://openalex.org/C2777639682","wikidata":"https://www.wikidata.org/wiki/Q225957","display_name":"Dysarthria","level":2,"score":0.6766656041145325},{"id":"https://openalex.org/C2780959883","wikidata":"https://www.wikidata.org/wiki/Q111146","display_name":"Hematocrit","level":2,"score":0.6390432119369507},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.5322976112365723},{"id":"https://openalex.org/C50965678","wikidata":"https://www.wikidata.org/wiki/Q2724302","display_name":"Abnormality","level":2,"score":0.5202768445014954},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5107250213623047},{"id":"https://openalex.org/C2776301958","wikidata":"https://www.wikidata.org/wiki/Q407431","display_name":"Warfarin","level":3,"score":0.4972224533557892},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4486801028251648},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4115489423274994},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.16278564929962158},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.0982184112071991},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.0922035276889801},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001161","descriptor_name":"Arteriosclerosis","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D001161","descriptor_name":"Arteriosclerosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D001161","descriptor_name":"Arteriosclerosis","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004617","descriptor_name":"Embolism","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004617","descriptor_name":"Embolism","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007668","descriptor_name":"Kidney","qualifier_ui":"Q000098","qualifier_name":"blood supply","is_major_topic":true},{"descriptor_ui":"D007668","descriptor_name":"Kidney","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009395","descriptor_name":"Nephritis, Interstitial","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D058186","descriptor_name":"Acute Kidney Injury","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D058186","descriptor_name":"Acute Kidney Injury","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1056/nejm197712152972407","doi":"https://doi.org/10.1056/nejm197712152972407","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm197712152972407","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:917090","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/917090","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1978954000","https://openalex.org/W1986382081","https://openalex.org/W2012358633","https://openalex.org/W2019548354","https://openalex.org/W2053495029","https://openalex.org/W2056415209","https://openalex.org/W2079012575","https://openalex.org/W2083644299","https://openalex.org/W2108984280","https://openalex.org/W2125016924","https://openalex.org/W2159030900","https://openalex.org/W2314209899","https://openalex.org/W2314852248","https://openalex.org/W2316720121","https://openalex.org/W2335847526","https://openalex.org/W2338261582","https://openalex.org/W2341298158","https://openalex.org/W2413282984","https://openalex.org/W2417842233","https://openalex.org/W2468181610","https://openalex.org/W4237256957","https://openalex.org/W4237584024"],"related_works":["https://openalex.org/W2422134349","https://openalex.org/W4386477141","https://openalex.org/W2342012891","https://openalex.org/W2071439547","https://openalex.org/W4253089137","https://openalex.org/W2411572586","https://openalex.org/W2035567318","https://openalex.org/W4249386505","https://openalex.org/W2339068693","https://openalex.org/W2399002220"],"abstract_inverted_index":{"Presentation":[0],"of":[1,11],"CaseA":[2],"76-year-old":[3],"man":[4],"was":[5,14,42,49,82,87,93,97],"admitted":[6],"to":[7,44,59,71],"the":[8,66,72,79],"hospital":[9],"because":[10],"renal":[12],"failure.He":[13],"well":[15],"until":[16],"four":[17],"months":[18,30],"earlier,":[19],"when":[20],"he":[21,33,62],"experienced":[22],"transient":[23],"bilateral":[24],"paresthesia":[25],"with":[26],"questionable":[27],"dysarthria.":[28],"Two":[29],"before":[31,53],"admission":[32],"suddenly":[34],"lost":[35],"consciousness":[36],"while":[37],"parking":[38],"his":[39,55],"car.":[40],"He":[41,69,86],"taken":[43],"another":[45],"hospital,":[46,74],"and":[47,61],"warfarin":[48],"prescribed.":[50],"Eighteen":[51],"days":[52],"entry":[54],"left":[56,67],"arm":[57],"began":[58],"shake,":[60],"became":[63],"weak":[64],"on":[65],"side.":[68],"returned":[70],"same":[73],"where":[75],"examination":[76],"showed":[77],"that":[78],"blood":[80],"pressure":[81],"200/100":[83],"mm":[84],"Hg.":[85],"lethargic,":[88],"but":[89],"no":[90],"other":[91],"abnormality":[92],"found.":[94],"The":[95],"hematocrit":[96],".":[98,99,100]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
