Evidence map›Paper›PMID 37085608›Full record

ArticleScientific reports2023

A comprehensive diagnostic approach in suspected neurosarcoidosis.

Shala Ghaderi Berntsson, Andreas Elmgren, Olafur Gudjonsson, Anna Grabowska, Anne-Marie Landtblom, Maria-Francisca Moraes-Fontes

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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  7. Neurosarcoidosis-like reaction under TNF-α inhibitors: a case report and literature review of a paradoxical immune phenomenon.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

6 authors at 2 institutions in 2 countries.

Shala Ghaderi BerntssonDepartment of Medical Sciences, Neurology, Uppsala University, 751 85, Uppsala, Sweden. shala.berntsson@neuro.uu.se.ORCID 0000-0002-2251-5879
Andreas ElmgrenDepartment of Medical Sciences, Neurology, Uppsala University, 751 85, Uppsala, Sweden.
Olafur GudjonssonDepartment of Medical Sciences, Neurosurgery, Uppsala University, Uppsala, Sweden.
Anna GrabowskaDepartment of Neuroradiology, Uppsala University, Uppsala, Sweden.
Anne-Marie LandtblomDepartment of Medical Sciences, Neurology, Uppsala University, 751 85, Uppsala, Sweden.
Maria-Francisca Moraes-FontesFundação Champalimaud, Lisbon, Portugal.ORCID 0000-0002-8917-6592
Uppsala University · SEChampalimaud Foundation · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurosarcoidosis presents a diagnostic challenge in clinical settings, as it has no pathognomonic symptoms or signs and a wide range of differential diagnoses. The aim of this report is to present the pathological features of our group of patients, obtained through a systematic diagnostic approach. This retrospective cohort study enrolled all adult patients primarily diagnosed with neurosarcoidosis at the neurology department of a tertiary center in Sweden over a period of 30 years, from 1990 to 2021. We identified 90 patients, 54 with possible neurosarcoidosis and 36 with probable neurosarcoidosis. CNS biopsy revealed an alternative diagnosis for 24 patients, who were then excluded. The collected data from medical records included demographic and clinical characteristics, systemic and/or neurological isolated involvement, various laboratory tests, including cerebrospinal fluid (CSF), serum analysis, imaging studies (MRI, FDG-PET/CT, and HRCT), nerve conduction studies, electromyography, and pathology reports of central nervous system (CNS), and extra-neural tissue biopsies. Sixty-six patients were included in our cohort. The median age at onset of symptoms was 49 years, with a similar sex distribution. Cranial neuropathies (38%), motor deficit (32%), headache (16%), and pituitary dysfunction (12%) were the most common presenting features. CSF studies were abnormal in 77% of the patients, who showed lymphocytosis (57%), elevated protein (44%), oligoclonal bands (40%), elevated ACE (28%), and raised T lymphocyte CD4

Indexed as

Fluorodeoxyglucose F18SarcoidosisAdultCentral Nervous System DiseasesHumansMagnetic Resonance ImagingMiddle AgedPositron Emission Tomography Computed TomographyRetrospective StudiesFluorodeoxyglucose F18

Identifiers

PMID37085608
PMCPMC10121682
OpenAlexW4366742283

What OpenQuestion holds

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LicenceCC BY
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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.