Evidence map›Paper›PMID 27007482›Full record

Observational studyJournal of neurology2016

Clinical features and prognostic factors of spinal cord sarcoidosis: a multicenter observational study of 20 BIOPSY-PROVEN patients.

Cécile-Audrey Durel, Romain Marignier, Delphine Maucort-Boulch, Jean Iwaz, Emilie Berthoux, Marc Ruivard, Marc André, Guillaume Le Guenno, Laurent Pérard, Jean-François Dufour and 5 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Cranial MRI in neurosarcoidosis: Imaging patterns and nationwide clinical correlations.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  5. Autoimmune diseases of the spine and spinal cord.The neuroradiology journal · 2024
    Review
  6. Neurosarcoidosis.Journal of neurology · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Neurosarcoidosis: Pathophysiology, Diagnosis, and Treatment.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

15 authors at 6 institutions in 3 countries.

Cécile-Audrey DurelDépartement de Médicine Interne, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 69004, Lyon, France. cecile-audrey.durel@chu-lyon.fr.
Romain MarignierDépartement de Neurologie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 69500, Bron, France.
Delphine Maucort-BoulchUniversité de Lyon, Université Lyon 1, 69100, Villeurbanne, France.
Jean IwazUniversité de Lyon, Université Lyon 1, 69100, Villeurbanne, France.
Emilie BerthouxDépartement de Médicine Interne, CH Saint Luc Saint Joseph, 69007, Lyon, France.
Marc RuivardDépartement de Médecine Interne, CHU de Clermont-Ferrand, CHU Estaing, 63003, Clermont-Ferrand, France.
Marc AndréService de Médecine Interne, CHU Clermont-Ferrand, Hôpital Gabriel Montpied, 63003, Clermont-Ferrand, France.
Guillaume Le GuennoDépartement de Médecine Interne, CHU de Clermont-Ferrand, CHU Estaing, 63003, Clermont-Ferrand, France.
Laurent PérardDépartement de Médecine Interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, 69008, Lyon, France.
Jean-François DufourDépartement de Médecine Interne, Centre hospitalier Fleyriat, 01012, Bourg-en-Bresse, France.
Alin TurcuDépartement de Médecine Interne et Maladies Systémiques, CHU Dijon, 21079, Dijon, France.
Jean-Christophe AntoineDépartement de Neurologie, CHU de Saint-Etienne, Hôpital Nord, 42055, Saint Etienne Cedex 022, France.
Jean-Philippe CamdessancheDépartement de Neurologie, CHU de Saint-Etienne, Hôpital Nord, 42055, Saint Etienne Cedex 022, France.
Thierry DelboyDépartement de Médecine Interne, CH Montluçon, 03100, Montluçon, France.
Pascal SèveDépartement de Médicine Interne, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 69004, Lyon, France.
Hospices Civils de Lyon · FRCentre de Recherche en Cancérologie de Lyon · FRCentre de Recherche en Neurosciences de Lyon · FRCentre Hospitalier Universitaire de Saint-Étienne · FRCHU Dijon Bourgogne · FRCHU Dinant Godinne UCL Namur · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sarcoidosis of the spinal cord is a rare disease. The aims of this study are to describe the features of spinal cord sarcoidosis (SCS) and identify prognostic markers. We analyzed 20 patients over a 20-year period in 8 French hospitals. There were 12 men (60 %), mostly Caucasian (75 %). The median ages at diagnosis of sarcoidosis and myelitis were 34.5 and 37 years, respectively. SCS revealed sarcoidosis in 12 patients (60 %). Eleven patients presented with motor deficit (55 %) and 9 had sphincter dysfunction (45 %). The median initial Edmus Grading Scale (EGS) score was 2.5. The cerebrospinal fluid (CSF) showed elevated protein level (median: 1.00 g/L, interquartile range (IQR) 0.72-1.97), low glucose level (median 2.84 mmol/L, IQR 1.42-3.45), and elevated white cell count (median 22/mm(3), IQR 6-45). The cervical and thoracic cords were most often affected (90 %). All patients received steroids and an immunosuppressive drug was added in 10 cases (50 %). After a mean follow-up of 52.1 months (range 8-43), 18 patients had partial response (90 %), 7 displayed functional impairment (35 %), and the median final EGS score was 1. Six patients experienced relapse (30 %). There was an association between the initial and the final EGS scores (p = 0.006). High CSF protein level showed a trend toward an association with relapse (p = 0.076). The spinal cord lesion was often the presenting feature of sarcoidosis. Most patients experienced clinical improvement with corticosteroids and/or immunosuppressive treatment. The long-term functional prognosis was correlated with the initial severity.

Indexed as

Adrenal Cortex HormonesAdultAgedFemaleFollow-Up StudiesFranceHumansImmunosuppressive AgentsMagnetic Resonance ImagingMaleMiddle AgedPrognosisRetrospective StudiesSarcoidosisSeverity of Illness IndexSpinal CordAdrenal Cortex HormonesImmunosuppressive AgentsMorbidityMyelopathyNeurosarcoidosisSarcoidosisSequelaeSpinal cord sarcoidosis

Identifiers

PMID27007482
OpenAlexW2311302103

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.