Evidence map›Paper›PMID 24501699›Full record

ArticleNeuroImage. Clinical2014

Incidental parenchymal magnetic resonance imaging findings in the brains of patients with neurofibromatosis type 2.

Wendy S Vargas, Linda A Heier, Fausto Rodriguez, Amanda Bergner, Kaleb Yohay

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
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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

5 authors at 4 institutions in 1 country.

Wendy S VargasDivision of Pediatric Neurology, Weill Cornell Medical Center/New York Presbyterian Hospital, USA.
Linda A HeierDivision of Neuroradiology, Weill Cornell Medical Center/New York Presbyterian Hospital, USA.
Fausto RodriguezDepartment of Pathology, Division of Neuropathology, Johns Hopkins University, USA.
Amanda BergnerDepartment of Neurology, Johns Hopkins University, USA.
Kaleb YohayDivision of Pediatric Neurology, Weill Cornell Medical Center/New York Presbyterian Hospital, USA.
New York Hospital Queens · USJohns Hopkins Medicine · USJohns Hopkins University · USPresbyterian Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhereas T2 hyperintensities known as NF-associated bright spots are well described in patients with neurofibromatosis type I (NF-1), there is a paucity of data on incidental findings in patients with neurofibromatosis type II (NF-2). We aim to characterize unexplained imaging findings in the brains of patients with NF-2. MATERIALS AND

methodsThis study is retrospective, HIPAA-compliant and approved by the institutional review board. 34 patients with NF-2 underwent brain magnetic resonance imaging (MRI) between January 2000 and December 2012. T2 and T1-weighted imaging characteristics, diffusion weighted imaging (DWI) characteristics, and enhancement patterns were analyzed by visual inspection. Clinical information at time of imaging was available for all patients. Neuropathologic data was available for one patient.

resultsWe found unexplained T2 hyperintensities present on initial imaging in 23/34 patients (67%). Of the 23 patients with unexplained MRI findings, 15 (65%) had wedge-shaped T2 hyperintensities in the subcortical white matter extending to the cortex suggestive of a cortical dysplasia. 3 additional cases (17%) had a lesion within the cerebellum suggestive of a neuronal migration anomaly. In one patient where the MRI was suggestive of focal cortical dysplasia, histopathologic analysis revealed dysplastic glial foci without other alterations of cortical architecture or other cytologic abnormalities.

conclusionUnexplained T2 hyperintensities occur frequently in patients with NF-2. While they may not be the NF-2 equivalent of NF-associated bright spots seen in NF-1, some of these T2 hyperintensities in patients with NF-2 may represent underlying disorders of neuronal migration. Further studies are needed to validate our findings.

Indexed as

AdolescentAdultAgedBrainBrain NeoplasmsChildDiffusion Magnetic Resonance ImagingFemaleHumansIncidental FindingsMaleMiddle AgedNeurofibromatosis 2Reproducibility of ResultsSensitivity and SpecificityYoung AdultCortical dysplasiaMicro-hamartomasMigration anomaliesMRINeurofibromatosis type 2NF-associated bright spots

Identifiers

PMID24501699
PMCPMC3913834
OpenAlexW1965141423

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.