Evidence map›Paper›PMID 36032203›Full record

ArticleRadiology case reports2022

Isolated arteritis misdiagnosed as bilateral orbital tumors in a patient with acute ischemic stroke.

Edyta Dziadkowiak, Justyna Chojdak-Łukasiewicz, Bogusław Paradowski, Joanna Bladowska

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Guideline
  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

4 authors.

Edyta DziadkowiakDepartment of Neurology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland.
Justyna Chojdak-ŁukasiewiczDepartment of Neurology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland.
Bogusław ParadowskiDepartment of Neurology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland.
Joanna BladowskaDepartment of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vasculitis is a heterogeneous group of disorders characterized by multifocal segmental inflammation of the small and medium vessels of the central nervous system. The predominant symptoms of cerebral vasculitis are stroke, headache, and encephalopathy. Additional symptoms include seizures, cranial nerve palsies, and myelopathy. Imaging techniques play a crucial role in identifying the diagnosis of vasculitis and demonstrating brain involvement. An 89-year-old woman with permanent atrial fibrillation developed an embolic stroke. In treatment, intravenous thrombolysis and thrombectomy with complete antegrade reperfusion of the left middle cerebral artery was used, without the clinical effectiveness. Brain MRI revealed bilateral oval lesions in medial parts of the orbits, which were initially misinterpreted as orbital tumors. Final diagnosis confirmed thickened arterial walls as orbital changes due to inflammatory arteritis. Ten days later, follow-up MRI was performed and showed complete regression of the orbital masses. Primary central nervous system vasculitis, manifesting as acute ischemic stroke, may be reversible with early systemic thrombolytic treatment.

Indexed as

ACA, anterior cerebral arteryAcute ischemic strokeBilateral orbital tumorsBRAO, branch retinal artery occlusionCNS, central nervous systemCRAO, central retinal arteryCSF, cerebrospinal fluidCTA, CT angiographyEGPA, eosinophilic granulomatosis with polyangiitisGCA, giant cell arteritisGPA, granulomatosis with polyangiitisICA, internal carotid arteryLVV, large vessel vasculitisMCA, middle cerebral arteryMPA, microscopic polyangiitisPACNS, primary angiitis of the central nervous systemPDGF, platelet-derived growth factorPrimary central nervous system vasculitis arteritisRAO, retinal artery occlusionThrombolysisVEGF, endothelial growth factor

Identifiers

PMID36032203
PMCPMC9399897

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Registered trials

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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.