Evidence map›Paper›PMID 37532518›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2023

Unilateral Relapsing Primary CNS Vasculitis: Description of 3 Cases From a Single-Institutional Cohort of 216 Cases.

Carlo Salvarani, Gene G Hunder, Caterina Giannini, John Huston, Robert D Brown

Open access · goldAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Tumor-mimicking primary CNS vasculitis: illustrative case.Journal of neurosurgery. Case lessons · 2026
    Article
  4. Unilateral Primary Angiitis of the Central Nervous System (PACNS): a case report of unusual radiological presentation.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Review
  6. Article
  7. 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

5 authors at 1 institution in 1 country.

Carlo SalvaraniFrom the Division of Rheumatology (C.S.), Azienda USL-IRCCS di Reggio Emilia and Università of Modena and Reggio Emilia, Italy; Division of Rheumatology (G.G.H.), Department of Anatomic Pathology (C.G.), Department of Radiology (J.H.), and Department of Neurology (R.D.B.), Mayo Clinic, Rochester, MN. carlo.salvarani@ausl.re.it.
Gene G HunderFrom the Division of Rheumatology (C.S.), Azienda USL-IRCCS di Reggio Emilia and Università of Modena and Reggio Emilia, Italy; Division of Rheumatology (G.G.H.), Department of Anatomic Pathology (C.G.), Department of Radiology (J.H.), and Department of Neurology (R.D.B.), Mayo Clinic, Rochester, MN.
Caterina GianniniFrom the Division of Rheumatology (C.S.), Azienda USL-IRCCS di Reggio Emilia and Università of Modena and Reggio Emilia, Italy; Division of Rheumatology (G.G.H.), Department of Anatomic Pathology (C.G.), Department of Radiology (J.H.), and Department of Neurology (R.D.B.), Mayo Clinic, Rochester, MN.
John HustonFrom the Division of Rheumatology (C.S.), Azienda USL-IRCCS di Reggio Emilia and Università of Modena and Reggio Emilia, Italy; Division of Rheumatology (G.G.H.), Department of Anatomic Pathology (C.G.), Department of Radiology (J.H.), and Department of Neurology (R.D.B.), Mayo Clinic, Rochester, MN.ORCID 0000-0003-0584-9460
Robert D BrownFrom the Division of Rheumatology (C.S.), Azienda USL-IRCCS di Reggio Emilia and Università of Modena and Reggio Emilia, Italy; Division of Rheumatology (G.G.H.), Department of Anatomic Pathology (C.G.), Department of Radiology (J.H.), and Department of Neurology (R.D.B.), Mayo Clinic, Rochester, MN.
Azienda Sanitaria Unità Locale di Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo define the frequency and characteristics of patients with unilateral relapsing involvement in a cohort of patients with adult primary CNS vasculitis (PCNSV).

methodsWe retrospectively studied a cohort of 216 patients with PCNSV seen at the Mayo Clinic, Rochester, MN from 1983 to 2022. Twenty-five patients (19.8%) had at least 2 flares. Three of them (1.4%) had unilateral relapsing vasculitis. We described these 3 patients and compared them with the entire cohort of 216 patients.

resultsAll 3 patients had angiography-negative and biopsy-positive PCNSV with granulomatous-necrotizing and lymphocytic vasculitides and amyloid beta-related angiitis. The main manifestation at diagnosis and during flares was seizures. Unilateral lesions with gadolinium enhancement were the main MRI finding. Spinal fluid examination at diagnosis was normal in 2 patients. All had multiple flares (from 4 to 10) and were treated with long-term high-dose prednisone and numerous traditional immunodepressive drugs, and one received rituximab for steroid resistance. All 3 patients had slight disability with mild cognitive impairment at last follow-up. DISCUSSION: Unilateral relapsing involvement represents a rare subset of PCNSV with peculiar characteristics and can be observed in all neuropathologic patterns.

Indexed as

Amyloid beta-PeptidesVasculitis, Central Nervous SystemAdultContrast MediaGadoliniumHumansRetrospective StudiesAmyloid beta-PeptidesContrast MediaGadolinium

Identifiers

PMID37532518
PMCPMC10411966
OpenAlexW4385487431

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.