Evidence map›Paper›PMID 37548380›Full record

ArticleThe Journal of international medical research2023

Aseptic meningitis followed by mononeuritis multiplex in a patient with primary Sjögren's syndrome.

Hideki Nakamura, Yutaka Tanikawa, Masahiro Nishihara, Masako Tsukamoto, Yosuke Nagasawa, Kumiko Akiya, Naotoshi Natori, Noboru Kitamura, Tadateru Takayama, Hideto Nakajima

Abstract readCase Reports
In one paragraph

Article in The Journal of international medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Hideki NakamuraDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.ORCID 0000-0002-5837-6348
Yutaka TanikawaDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Masahiro NishiharaDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Masako TsukamotoDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Yosuke NagasawaDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Kumiko AkiyaDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Naotoshi NatoriDivision of Neurology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Noboru KitamuraDivision of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.ORCID 0000-0002-8454-988X
Tadateru TakayamaDivision of General Medicine, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Hideto NakajimaDivision of Neurology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.ORCID 0000-0002-2154-9196

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 38-year-old woman was admitted to hospital because of fever and headache. Increased cerebrospinal cell count and protein without evidence of infection led to a diagnosis of aseptic meningitis. Although she improved with acyclovir and glyceol, she experienced left forearm pain and sensory disturbance with drop fingers. Poor derivation of compound muscle action potentials in the left radial nerve was observed, leading to a diagnosis of mononeuritis multiplex with sensorimotor neuropathy. Because the patient had primary Sjögren's syndrome with anti-Ro/SS-A antibody and salivary gland hypofunction, treatment with methylprednisolone, intravenous immunoglobulin, and intravenous cyclophosphamide was followed by oral glucocorticoid therapy. After these intensive therapies, her drop fingers gradually improved, although sensory disturbance remained. In conclusion, we report a case of aseptic meningitis and subsequent mononeuritis multiplex that was successfully treated with intensive immunotherapy in a patient with primary Sjögren's syndrome.

Indexed as

Meningitis, AsepticMononeuropathiesPeripheral Nervous System DiseasesSjogren's SyndromeAdultFemaleHumansMethylprednisoloneMethylprednisoloneanti-Ro/SS-A antibodyAseptic meningitisdrop fingerimmunotherapymononeuritis multiplexSjögren’s syndrome

Identifiers

PMID37548380
PMCPMC10408315

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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.