Evidence map›Paper›PMID 34227044›Full record

ArticleJournal of neurovirology2021

Clinical and magnetic resonance imaging patterns of extensive Chikungunya virus-associated myelitis.

Fernanda Cristina Rueda-Lopes, Luiz Celso Hygino da Cruz, Fabrícia Lima Fontes, Alice Laschuk Herlinger, Orlando da Costa Ferreira Junior, Renato Santana de Aguiar, Claudia Cristina Ferreira Vasconcelos, Osvaldo José Moreira do Nascimento, Soniza Vieira Alves-Leon

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In one paragraph

Article in Journal of neurovirology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Nervous System Manifestations of Arboviral Infections.Current tropical medicine reports · 2022
    Review
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.

Fernanda Cristina Rueda-LopesRadiology Department of Fluminense Federal University (UFF), DASA (Diagnósticos da América), Avenida Roberto Silveira, 349/1904, Icaraí, Niteroi, Brazil. frueda81@hotmail.com.ORCID http://orcid.org/0000-0002-3782-8624
Luiz Celso Hygino da CruzDASA (Diagnósticos da América), Barueri, Brazil.
Fabrícia Lima FontesFederal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.
Alice Laschuk HerlingerGenetics Department, Biology Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
Orlando da Costa Ferreira JuniorState University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
Renato Santana de AguiarGenetics Department, Biology Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
Claudia Cristina Ferreira VasconcelosNeurology Department of Fluminense Federal University (UFF), Rio de Janeiro, Brazil.
Osvaldo José Moreira do NascimentoNeurology Department of Fluminense Federal University (UFF), Rio de Janeiro, Brazil.
Soniza Vieira Alves-LeonGenetics Department, Biology Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chikungunya fever is an arbovirus infection transmitted by the same mosquito vector of dengue and Zika virus. Besides high fever, common clinical symptoms include articular pain and general malaise. Neurological involvement is unusual, but some patients may develop peripheral and central nervous system involvement, including meningoencephalitis, myelitis, Guillain-Barré syndrome, and acute disseminated encephalomyelitis. We present three cases of Chikungunya fever complicated with extensive myelitis. The spinal cord magnetic resonance imaging (MRI) pattern is characterized by multiple dotted-like and longitudinal hyperintense lesions, with contrast enhancement, mostly distributed in the peripheral regions of the spinal cord. It seems that these lesions are mostly located in the perivascular spaces (PVS), related or not to virus attack. Involvement of brain PVS can also be demonstrated, as shown in two of the cases described. Considering the MRI pattern, extensive spinal cord lesion should include Chikungunya as a differential diagnosis, especially during an outbreak.

Indexed as

AgedChikungunya FeverFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMyelitisChikungunyaMyelitisNeurological complications

Identifiers

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.