Evidence map›Paper›PMID 18931835›Full record

ArticlePediatric radiology2008

Magnetic resonance imaging of miliary tuberculosis of the central nervous system in children with tuberculous meningitis.

Pieter Janse van Rensburg, Savvas Andronikou, Ronald van Toorn, Manana Pienaar

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Challenges in the diagnosis of tuberculous meningitis.Journal of clinical tuberculosis and other mycobacterial diseases · 2020
    Article
  11. Article
  12. Tuberculosis in Children.Pediatric clinics of North America · 2017
    Review
  13. Article
  14. Article
  15. Article
  16. MRI findings in children with tuberculous meningitis: a comparison of HIV-infected and non-infected patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2011
    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

4 authors at 1 institution in 1 country.

Pieter Janse van RensburgDepartment of Radiology, Faculty of Health Sciences, University of Stellenbosch, Tygerberg, South Africa. topieter@yahoo.com
Savvas Andronikou
Ronald van Toorn
Manana Pienaar
Stellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculous meningitis (TBM) is closely associated with miliary tuberculosis and a pathogenetic relationship is suspected, although it has been proposed that the two processes are unrelated.

objectiveTo describe miliary tuberculosis of the central nervous system (CNS) on MRI in children with TBM. MATERIALS AND

methodsA retrospective descriptive study of 32 paediatric TBM patients referred for MRI. The presence of miliary nodules in the CNS was recorded. Lesions were categorized according to their distribution, enhancement pattern, size and signal characteristics.

resultsA miliary distribution of nodules was present in 88% of patients. All patients with a miliary distribution had leptomeningeal nodules and 18% of these patients had deep parenchymal nodules in addition. At least one tuberculoma with central T2 hypointensity was identified in 39% of patients.

conclusionThe high prevalence of miliary leptomeningeal nodules in the CNS of children with TBM is significant because it points to a pathogenetic relationship that has long been suspected on epidemiological grounds. Our findings challenge the concept that miliary tuberculosis is only an incidental finding in TBM patients and suggest that it plays an integral part in the pathogenesis.

Indexed as

AdolescentBrainCentral Nervous SystemChildChild, PreschoolComorbidityContrast MediaFemaleGadolinium DTPAHumansImage EnhancementInfantMagnetic Resonance ImagingMaleObserver VariationPrevalenceContrast MediaGadolinium DTPA

Identifiers

PMID18931835
OpenAlexW2042641495

What OpenQuestion 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 OpenQuestion graph.