Evidence map›Paper›PMID 30225516›Full record

ReviewClinical neuroradiology2019

Central Nervous System Tuberculosis : Etiology, Clinical Manifestations and Neuroradiological Features.

Martin Alexander Schaller, Felix Wicke, Christian Foerch, Stefan Weidauer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 3 pooled it
11.6field-weighted citation impact, top 1% 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

96 citing papers in PubMed, 3 syntheses or guidelines pooled it, 216 citations in OpenAlex.

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  20. Hemorrhagic manifestations of neurotuberculosis: a rare entity.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article

36 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

4 authors at 1 institution in 1 country.

Martin Alexander SchallerDepartment of Neurology, Goethe University, Schleusenweg 2-16, 60528, Frankfurt/Main, Germany. martinalexander.schaller@kgu.de.ORCID http://orcid.org/0000-0003-1447-9908
Felix WickeInstitute of General Practice, Goethe University, Frankfurt, Germany.
Christian FoerchDepartment of Neurology, Goethe University, Schleusenweg 2-16, 60528, Frankfurt/Main, Germany.
Stefan WeidauerDepartment of Neurology, Sankt Katharinen Hospital, Teaching Hospital, Goethe University, Frankfurt, Germany.
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs a result of multilateral migration and globalization in times of humanitarian crises, western countries face a possible increase in the incidence of central nervous system tuberculosis (CNS TB). The diagnosis of CNS TB is challenging and often delayed due to the manifold and often non-specific presentation of the disease. The aim of this review is to analyze and summarize imaging features and correlated clinical findings of CNS TB.

methodsThe different manifestations of CNS TB are explained and illustrated by characteristic neuroradiological as well as neuropathological findings. An overview on diagnostic and therapeutic approaches is provided. For clarity, tables summarizing the lesion patterns, differential diagnoses and diagnostic hints are added.

resultsThe CNS TB can be manifested (1) diffuse as tuberculous meningitis (TBM), (2) localized as tuberculoma or (3) tuberculous abscess or (4) in extradural and intradural spinal infections. Information on clinical presentation, underlying pathology and the distinguishing features is demonstrated. The TBM is further described, which may lead to cranial nerve palsy, hydrocephalus and infarction due to associated arteritis of the basal perforators. The differential diagnoses are vast and include other infections, such as bacterial, viral or fungal meningoencephalitis, malignant causes or systemic inflammation with CNS. Complicating factors of diagnosis and treatment are HIV coinfection, multi-drug resistance and TB-associated immune reconstitution inflammatory syndrome (IRIS).

conclusionsNeurologists and (neuro-)radiologists should be familiar with the neuroradiological presentation and the clinical course of CNS TB to ensure timely diagnosis and treatment.

Indexed as

Antitubercular AgentsDiagnosis, DifferentialFemaleHIV InfectionsHumansImmune Reconstitution Inflammatory SyndromeMagnetic Resonance ImagingMaleMeningoencephalitisMycobacterium tuberculosisNeuroimagingSpinal DiseasesTomography, X-Ray ComputedTuberculomaTuberculoma, IntracranialTuberculosis, Central Nervous SystemAntitubercular AgentsSpinal TuberculosisTuberculomaTuberculous abscessTuberculous MeningitisTuberculous spondylitis

Identifiers

PMID30225516
OpenAlexW2889558952

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.