Evidence map›Paper›PMID 38651063›Full record

ArticleFrontiers in medicine2024

Case report: Cerebral sinus vein thrombosis in VEXAS syndrome.

Michael Zisapel, Estelle Seyman, Jeremy Molad, Hen Hallevi, Michal Mauda-Havakuk, Tali Jonas-Kimchi, Ori Elkayam, Tali Eviatar

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Clinical features in VEXAS syndrome: a systematic review.Rheumatology (Oxford, England) · 2025
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. The Challenging and Unique Diagnosis of VEXAS Syndrome: A Case Report.Journal of investigative medicine high impact case reports
    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

8 authors at 3 institutions in 1 country.

Michael ZisapelRheumatology Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Estelle SeymanNeurology Division, Rambam Medical Center, Haifa, Israel.
Jeremy MoladFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Hen HalleviFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Michal Mauda-HavakukFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Tali Jonas-KimchiFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ori ElkayamRheumatology Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Tali Eviatar *Rheumatology Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Tel Aviv University · ILRambam Health Care Campus · ILTel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, and somatic) syndrome is a newly described hemato-inflammatory acquired monogenic entity that presents in adulthood. One of the main features of VEXAS syndrome is a high venous thromboembolism (VTE) burden, with approximately 30-40% experiencing lower extremity deep vein thrombosis and a lower incidence of pulmonary embolism at approximately 10%. To date, VEXAS syndrome has not been associated with rarer forms of VTE such as cerebral sinus vein thrombosis (CSVT) and Budd-Chiari syndrome, which are well-recognized vascular manifestations in Behcet's disease, another autoinflammatory vasculitic disease. Herein, we describe a case of acute severe extensive and fatal CSVT in a patient with VEXAS syndrome. The event occurred during a period of apparently quiescent inflammatory status, while the patient was receiving tocilizumab and a low dose of glucocorticoids. Despite treatment with anticoagulation, high-dose glucocorticoids, endovascular thrombectomy, and intracranial pressure-lowering agents, the patient suffered severe neurologic damage and ultimately succumbed to the condition 3 weeks after the onset of CSVT. To the best of our knowledge, this is the first reported case of CVST in a patient with VEXAS syndrome.

Indexed as

autoinflammatory diseasecase reportcerebral sinus vein thrombosistocilizumab (IL-6 inhibitor)VEAXS syndromevenous thromboembolism

Identifiers

PMID38651063
PMCPMC11033418
OpenAlexW4394575571

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.