Evidence map›Paper›PMID 30796075›Full record

ArticleBMJ case reports2019

Neurosyphilis presenting as cranial nerve palsy, an entity which is easy to miss.

Yoav Piura, Yair Mina, Orna Aizenstein, Avi Gadoth

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Neurosyphilis Presenting with Isolated Abducens Nerve Palsy.Internal medicine (Tokyo, Japan) · 2025
    Article
  2. Article
  3. Article
  4. Review
  5. [Radiological clinical profile of multiple cranial neuropathy and recurrence risk factors].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Observational
  6. Article
  7. Article
  8. Article
  9. Neurosyphilis in disguise.Neuroradiology · 2022
    Review
  10. Article
  11. 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

4 authors at 1 institution in 1 country.

Yoav PiuraNeurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID http://orcid.org/0000-0003-1004-4560
Yair MinaNeurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Orna AizensteinRadiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Avi GadothNeurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Tel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurosyphilis is a rare disease that until the 2000s was almost eradicated due to population awareness of HIV and efficient treatment. Since then, the prevalence of the entity is rising due to risk-associated behaviour such as unprotected intercourse. Neurosyphilis is still a difficult entity to diagnose especially when combined with acute HIV infection which can influence the usual clinical course of disease. In rare occasions, both acute HIV and early syphilis infection can present as mono or multiple cranial nerve palsies. This case demonstrates a rare manifestation of misdiagnosed early syphilis infection combined with acute HIV infection in a 34-year-old man with prior history of unprotected sex with men.

Indexed as

AdultAnti-Bacterial AgentsCranial Nerve DiseasesDysarthriaFacial ParalysisHearing LossHIV InfectionsHomosexuality, MaleHumansMagnetic Resonance ImagingMaleNeuroimagingNeurosyphilisPenicillin GTreatment OutcomeUnsafe SexAnti-Bacterial AgentsPenicillin GHIV / AIDSinfection (neurology)meningitissyphilis

Identifiers

PMID30796075
PMCPMC6388890
OpenAlexW2916106353

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.