Evidence map›Paper›PMID 32760335›Full record

ArticleFrontiers in neurology2020

A Case With IgG4-Related Spinal Pachymeningitis Causing Spinal Cord Compression.

Rensheng Zhang, Jiguo Gao, Teng Zhao, Beilin Zhang, Chenglin Wang, Chao Wang, Lexiang Cui, Jiafeng Chen, Shaokuan Fang

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. A case of IgG4-related spinal pachymeningitis with a large spinal cord cavity: case report and updated systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. IgG4-related spinal hypertrophic pachymeningitis: a systematic 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 · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Mass: The Conundrum in Spine.Journal of orthopaedic case reports · 2023
    Article
  8. 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

9 authors at 2 institutions in 1 country.

Rensheng ZhangDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Jiguo GaoDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Teng ZhaoDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Beilin ZhangDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Chenglin WangDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Chao WangDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Lexiang CuiDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Jiafeng ChenDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
Shaokuan FangDepartment of Neurology, Neuroscience Center, The First Teaching Hospital of Jilin University, Changchun, China.
First Hospital of Jilin University · CNJilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin G4 (IgG4)-related disease is a systemic disease characterized by sclerosing lesions and an increased serum IgG4 level. This condition can involve any organ, but IgG4-related spinal pachymeningitis is relatively rare. In the current study, we report a case of spinal cord compression caused by IgG4-related spinal pachymeningitis. A 39-year-old man presented to us with a 15-day history of back pain and a 3-day history of dysuresia, exacerbated by weakness in the lower extremities for 2 days. Cervical magnetic resonance imaging (MRI) showed strip-shaped abnormal signals along the anterior and posterior borders of the spinal cord at the C5-T4 levels. The IgG level in cerebrospinal fluid was 718.0 mg/L. Thoracic MRI revealed strip-shaped abnormal signals with remarkable enhancement along the anterior and posterior borders of the dural sac at the T1-T6 levels. Histopathological examination confirmed IgG4-related spinal pachymeningitis. The symptoms worsened rapidly, and surgical resection of the space-occupying lesion in the vertebral canal was performed for spinal decompression. Corticosteroid therapy was administered, and the patient's motor functions were mildly improved. IgG4-related disease can manifest as spinal pachymeningitis and cause spinal cord compression. Clinicians should be aware of this rare condition, and early diagnosis, timely surgical decompression, and appropriate corticosteroid therapy should be highlighted.

Indexed as

case reporthistopathology and immunohistochemistryimmunoglobulin G4 (IgG4)-related diseasespinal cord compressionspinal pachymeningitissystemic disease

Identifiers

PMID32760335
PMCPMC7371922
OpenAlexW3043343529

What OpenQuestion holds

Textmetadata
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.