Evidence map›Paper›PMID 34215779›Full record

ArticleScientific reports2021

Clinical characterization and outcomes of 85 patients with neurosarcoidosis.

Manuel Ramos-Casals, Roberto Pérez-Alvarez, Belchin Kostov, Ricardo Gómez-de-la-Torre, Carlos Feijoo-Massó, Joel Chara-Cervantes, Blanca Pinilla, Andrés González-García, José-Salvador Garcia-Morillo, Miguel López-Dupla and 17 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. An update on hypophysitis.Nature reviews. Endocrinology · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Central Nervous System Sarcoidosis: A National-Based registry study.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. 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

27 authors at 20 institutions in 2 countries.

Manuel Ramos-CasalsDepartment of Autoimmune Diseases, ICMiD, Hospital Clínic, Barcelona, Spain.
Roberto Pérez-AlvarezDepartment of Internal Medicine, Hospital Alvaro Cunqueiro, Vigo, Spain.
Belchin KostovPrimary Healthcare Transversal Research Group, IDIBAPS, Primary Care Center Les Corts, CAPSBE, Barcelona, Spain.
Ricardo Gómez-de-la-TorreDepartment of Internal Medicine, Hospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Carlos Feijoo-MassóDepartment of Internal Medicine, Hospital Parc Tauli, Sabadell, Spain.
Joel Chara-CervantesDepartment of Internal Medicine, Hospital Josep Trueta, Girona, Spain.
Blanca PinillaDepartment of Internal Medicine, Hospital Gregorio Marañón, Madrid, Spain.
Andrés González-GarcíaDepartment of Internal Medicine, Hospital Ramon y Cajal, Madrid, Spain.
José-Salvador Garcia-MorilloDepartment of Internal Medicine, Hospital Virgen del Rocio, Seville, Spain.
Miguel López-DuplaDepartment of Internal Medicine, Hospital Joan XXIII, Tarragona, Spain.
Begoña De-EscalanteDepartment of Internal Medicine, Hospital Clínico, Zaragoza, Spain.
Javier RascónDepartment of Internal Medicine, Hospital Son Espases, Palma de Mallorca, Spain.
Patricia Perez-GuerreroDepartment of Internal Medicine, Hospital Puerta del Mar, Cádiz, Spain.
Mariona BonetDepartment of Internal Medicine, Althaia, Xarxa Assistencial de Manresa, Manresa, Spain.
Gracia Cruz-CaparrósDepartment of Internal Medicine, Hospital de Poniente de El Ejido, Almería, Spain.
Ana AlguacilDepartment of Internal Medicine, Hospital Virgen de la Salud, Toledo, Spain.
José-Luis CallejasDepartment of Internal Medicine, Hospital San Cecilio, Granada, Spain.
Eva CalvoDepartment of Internal Medicine, Hospital San Jorge, Huesca, Spain.
Cristina SolerDepartment of Internal Medicine, Hospital Santa Caterina, Girona, Spain.
Angel RoblesDepartment of Internal Medicine, Hospital La Paz, Madrid, Spain.
Borja de Miguel-CampoDepartment of Internal Medicine, Hospital 12 de Octubre, Madrid, Spain.
Pedro Oliva-NacarinoDepartment of Neurology. Hospital, Universitario Central de Asturias (HUCA), Oviedo, Spain.
Jorge Estela-HerreroDepartment of Neurology, Hospital Parc Tauli, Sabadell, Spain.
Lucio PallarésDepartment of Internal Medicine, Hospital Son Espases, Palma de Mallorca, Spain.
Pilar Brito-ZerónSystemic Autoimmune Diseases Unit, Department of Internal Medicine, Hospital CIMA-Sanitas, Barcelona, Spain. mpbrito@sanitas.es.
Yolanda BlancoDepartment of Neurology, Hospital Clínic, Barcelona, Spain.
SarcoGEAS-SEMI Registry
Hospital General Universitario Gregorio Marañón · ESHospital Clínic de Barcelona · ESHospital Clínico Universitario Lozano Blesa · ESHospital Universitario Central de Asturias · ESHospital Universitario Son Espases · ESAlthaia · ESConsorci d’Atenció Primària de Salut Barcelona Esquerra · ESHospital Universitario La Paz · ESUniversity Hospital Complex Of Vigo · ESComplejo Hospitalario de Salamanca · ESDeleted InstitutionHospital de Poniente · ESHospital General Nuestra Señora del Prado · ESHospital Sanitas CIMA · ESHospital Santa Caterina · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitari Joan XXIII de Tarragona · ESHospital Universitario Miguel Servet · ESHospital Universitario Puerta del Mar · ESHospital Universitario Virgen del Rocío · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To analyze the frequency and clinical phenotype of neurosarcoidosis (NS) in one of the largest nationwide cohorts of patients with sarcoidosis reported from southern Europe. NS was evaluated according to the Diagnostic Criteria for Central Nervous System and Peripheral Nervous System Sarcoidosis recently proposed by Stern et al. Pathologic confirmation of granulomatous disease was used to subclassify NS into definite (confirmation in neurological tissue), probable (confirmation in extraneurological tissue) and possible (no histopathological confirmation of the disease). Of the 1532 patients included in the cohort, 85 (5.5%) fulfilled the Stern criteria for NS (49 women, mean age at diagnosis of NS of 47.6 years, 91% White). These patients developed 103 neurological conditions involving the brain (38%), cranial nerves (36%), the meninges (3%), the spinal cord (10%) and the peripheral nerves (14%); no patient had concomitant central and peripheral nerve involvements. In 59 (69%) patients, neurological involvement preceded or was present at the time of diagnosis of the disease. According to the classification proposed by Stern et al., 11 (13%) were classified as a definite NS, 61 (72%) as a probable NS and the remaining 13 (15%) as a possible NS. In comparison with the systemic phenotype of patients without NS, patients with CNS involvement presented a lower frequency of thoracic involvement (82% vs 93%, q = 0.018), a higher frequency of ocular (27% vs 10%, q < 0.001) and salivary gland (15% vs 4%, q = 0.002) WASOG involvements. In contrast, patients with PNS involvement showed a higher frequency of liver involvement (36% vs 12%, p = 0.02) in comparison with patients without NS. Neurosarcoidosis was identified in 5.5% of patients. CNS involvement prevails significantly over PNS involvement, and both conditions do not overlap in any patient. The systemic phenotype associated to each involvement was clearly differentiated, and can be helpful not only in the early identification of neurological involvement, but also in the systemic evaluation of patients diagnosed with neurosarcoidosis.

Indexed as

AdultAgedBrainCentral Nervous SystemCentral Nervous System DiseasesCohort StudiesCranial NervesFemaleHumansMaleMeningesMiddle AgedPeripheral NervesSarcoidosisSpinal Cord

Identifiers

PMID34215779
PMCPMC8253777
OpenAlexW3174270532

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.