Evidence map›Paper›PMID 28596990›Full record

ArticlemSphere

Magnetic Resonance Imaging of Cerebral Malaria Patients Reveals Distinct Pathogenetic Processes in Different Parts of the Brain.

Sanjib Mohanty, Laura A Benjamin, Megharay Majhi, Premanand Panda, Sam Kampondeni, Praveen K Sahu, Akshaya Mohanty, Kishore C Mahanta, Rajyabardhan Pattnaik, Rashmi R Mohanty and 6 more

Open access · goldAbstract read
In one paragraph

Article in mSphere. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Posterior reversible encephalopathy syndrome (PRES) and infection: a systematic review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Pooled it
  3. Article
  4. mBio · 2026
    Article
  5. bioRxiv : the preprint server for biology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Malaria: past, present, and future.Signal transduction and targeted therapy · 2025
    Review
  11. A comprehensive review of cerebral malaria.Journal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Adult Cerebral Malaria: Acute and Subacute Imaging Findings, Long-term Clinical Consequences.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  17. Article
  18. Review
  19. Cerebral Metabolic Crisis in Pediatric Cerebral Malaria.Journal of pediatric intensive care · 2023
    Article
  20. Review

13 more citing papers are in PubMed but not listed here.

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

16 authors at 7 institutions in 5 countries.

Sanjib MohantyCenter for the Study of Complex Malaria in India, Ispat General Hospital, Rourkela, Odisha, India.
Laura A BenjaminBrain Infections Group, Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Megharay MajhiDepartment of Radiology, Ispat General Hospital, Rourkela, Odisha, India.
Premanand PandaDepartment of Radiology, Ispat General Hospital, Rourkela, Odisha, India.
Sam KampondeniDepartment of Radiology, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Praveen K SahuCenter for the Study of Complex Malaria in India, Ispat General Hospital, Rourkela, Odisha, India.
Akshaya MohantyInfectious Diseases Biology Unit, Institute of Life Sciences, Bhubaneswar, Odisha, India.
Kishore C MahantaDepartment of Intensive Care, Ispat General Hospital, Rourkela, Odisha, India.
Rajyabardhan PattnaikDepartment of Intensive Care, Ispat General Hospital, Rourkela, Odisha, India.
Rashmi R MohantyDepartment of Ophthalmology, Ispat General Hospital, Rourkela, Odisha, India.
Sonia JoshiDepartment of Ophthalmology, Ispat General Hospital, Rourkela, Odisha, India.
Anita MohantyDepartment of Intensive Care, Ispat General Hospital, Rourkela, Odisha, India.
Ian W TurnbullNorth Manchester General Hospital, Manchester, United Kingdom.
Arjen M DondorpFaculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Terrie E TaylorDepartment of Osteopathic Medical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USA.
Samuel C WassmerDepartment of Immunology and Infection, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-6753-3376
Ispat General Hospital · INLondon School of Hygiene & Tropical Medicine · GBMahidol University · THNorth Manchester General Hospital · GBQueen Elizabeth Central Hospital · MWUniversity of Liverpool · GBUniversity of Malawi · MW

Funding

Using Next-Generation Genomics to Study Antimalarial Drug Resistance in IndiaU19AI089676 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CARLTON, JANE M · 2010 to 2023
$22.6M
The role of monocytes in the pathology of severe malaria.U19AI089683 · NIAID · MICHIGAN STATE UNIVERSITY · PI MATHANGA, DON P, TAYLOR, TERRIE ELLEN · 2010 to 2023
$21.4M
NIAID NIH HHS U19 AI089676NIAID NIH HHS U19 AI089683
6 · The paper itself

Abstract

The mechanisms underlying the rapidly reversible brain swelling described in patients with cerebral malaria (CM) are unknown. Using a 1.5-Tesla (T) magnetic resonance imaging (MRI) scanner, we undertook an observational study in Rourkela, India, of 11 Indian patients hospitalized with CM and increased brain volume. Among the 11 cases, there were 5 adults and 6 children. All patients had reduced consciousness and various degrees of cortical swelling at baseline. The latter was predominately posterior in distribution. The findings on diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) maps were consistent with vasogenic edema in all cases. Reversibility after 48 to 72 h was observed in >90% of cases. DWI/ADC mismatch suggested the additional presence of cytotoxic edema in the basal nuclei of 5 patients; all of these had perfusion parameters consistent with vascular engorgement and not with ischemic infarcts. Our results suggest that an impairment of the blood-brain barrier is responsible for the brain swelling in CM. In 5 cases, vasogenic edema occurred in conjunction with changes in the basal nuclei consistent with venous congestion, likely to be caused by the sequestration of

Indexed as

cerebral malariaMRIPlasmodium falciparumPRESvasogenic edema

Identifiers

PMID28596990
PMCPMC5463026
OpenAlexW2623298863

What OpenQuestion holds

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LicenceCC BY
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.