Evidence map›Paper›PMID 30311851›Full record

ReviewThe neuroradiology journal2019

Imaging findings in spinal sarcoidosis: a report of 18 cases and review of the current literature.

Neetu Soni, Girish Bathla, Ravishankar Pillenahalli Maheshwarappa

Open access · bronzeAbstract readCase ReportsReview
In one paragraph

Review in The neuroradiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.0field-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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Neurosarcoidosis involving cervical nerve root with unusual MRI findings: a case report and systematic literature review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Neuroimaging Spectrum of Erdheim-Chester Disease: An Image-Based Review.AJNR. American journal of neuroradiology · 2025
    Review
  8. Cranial MRI in neurosarcoidosis: Imaging patterns and nationwide clinical correlations.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  9. Article
  10. Review
  11. Autoimmune diseases of the spine and spinal cord.The neuroradiology journal · 2024
    Review
  12. Article
  13. Review
  14. Acute Venous Congestive Myelopathy in a Patient with Neurosarcoidosis.Journal of neurological surgery reports · 2022
    Article
  15. Neurosarcoidosis: Pathophysiology, Diagnosis, and Treatment.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Review
  16. The neuroradiology journal · 2021
    Article
  17. Article
  18. Article
  19. Intramedullary spinal cord involvement: a rare presentation of sarcoidosis.International medical case reports journal · 2019
    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

3 authors at 1 institution in 1 country.

Neetu SoniNeuroradiology Department, University of Iowa Hospitals and Clinics, USA.
Girish BathlaNeuroradiology Department, University of Iowa Hospitals and Clinics, USA.
Ravishankar Pillenahalli MaheshwarappaNeuroradiology Department, University of Iowa Hospitals and Clinics, USA.
University of Iowa Hospitals and Clinics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpinal sarcoidosis, referring to involvement of the spine in sarcoidosis, is relatively rare and may mimic other neurological disease affecting the spine. The authors present a clinic radiological review of 18 spinal sarcoidosis patients who presented to a tertiary hospital, with emphasis on initial imaging and radiological response to treatment. MATERIALS AND

methodsWe retrospectively reviewed our departmental imaging archives over a 15-year period and found 49 cases of neurosarcoidosis out of which 18 patients had spinal magnetic resonance imaging.

resultsApproximately 72% (13/18) of the neurosarcoidosis patients showed some form of spinal involvement. The clinical, epidemiological and imaging data were reviewed for these 13 patients at presentation and follow-up. The findings on magnetic resonance imaging included leptomeningeal enhancement (61%), pachymeningeal (23%), intramedullary enhancing lesions (38%) and bony involvement (15%). The cervical segment was most frequently involved followed by the thoracic segment. Involvement was often long segment (4.2 spinal segments) with proclivity for the dorsal cord. Mean follow-up was 23.2 months. A complete or near-complete radiological response occurred in 66% while partial response was seen in 25% patients. Four patients had isolated central nervous system involvement including one with isolated spinal cord involvement. On diffusion-weighted imaging, the apparent diffusion coefficient of intramedullary lesions was increased compared to normal-appearing cord on baseline and subsequent follow-up scans.

conclusionsSpinal sarcoidosis was previously considered uncommon but is being increasingly recognized with widespread use of magnetic resonance imaging. Proclivity for dorsal surface involvement is characteristic, although not necessarily pathognomonic. Also, quantitative diffusion studies may serve as a biomarker for the disease activity and parenchymal injury.

Indexed as

AdultAgedCentral Nervous System DiseasesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesSarcoidosisbone sarcoidosisMRINeurosarcoidosisspinal sarcoidosis

Identifiers

PMID30311851
PMCPMC6327364
OpenAlexW2896446607

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.