Evidence map›Paper›PMID 34729191›Full record

ArticleOxford medical case reports2021

Meningitis retention syndrome associated with complicated mild encephalitis/encephalopathy with reversible splenial lesion in a young adult patient: a case report.

Masaoki Hidaka, Natsuki Sawamura, Mio Yokoi, Satomi Mezuki, Masato Osaki, Shuji Arakawa, Tomoaki Akiyama, Shinya Yamaguchi, Tetsuro Sayama, Takanari Kitazono

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Masaoki HidakaDepartment of Cerebrovascular Medicine and Neurology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.ORCID https://orcid.org/0000-0001-5549-1343
Natsuki SawamuraDepartment of Cerebrovascular Medicine and Neurology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Mio YokoiDepartment of Cerebrovascular Medicine and Neurology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Satomi MezukiDepartment of Cerebrovascular Medicine and Neurology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Masato OsakiDepartment of Cerebrovascular Medicine and Neurology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Shuji ArakawaDepartment of Cerebrovascular Medicine and Neurology, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Tomoaki AkiyamaDepartment of Neurosurgery, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Shinya YamaguchiDepartment of Neurosurgery, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Tetsuro SayamaDepartment of Neurosurgery, Nippon Steel Yawata Memorial Hospital, Kitakyushu, Japan.
Takanari KitazonoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meningitis retention syndrome (MRS), comprising aseptic meningitis and urinary retention, is a self-limiting disease that resolves within a few weeks. Refractory urinary retention and encephalitic syndromes are rare. A 32-year-old man presented with acute fever and headache followed by acute urinary retention (UT). Neurological examination revealed meningeal irritation, UT, constipation and ataxic gait. The cerebrospinal fluid showed mononuclear leukocytosis, and the etiological examination was negative. We suspected MRS. However, magnetic resonance imaging demonstrated an abnormally intense lesion in the splenium of the corpus callosum (SCC). He also developed delirium on day 4 of hospitalization. We diagnosed the patient with MRS associated with mild encephalitis/encephalopathy with a reversible splenial lesion (MERS). While his delirium and constipation improved, and the SCC lesion disappeared, UT was refractory and required 6 months to complete recovery. Our case suggests that severe MRS can exhibit refractory UT and may associate with MERS.

Identifiers

PMID34729191
PMCPMC8557460

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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.