Evidence map›Paper›PMID 38839332›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Delayed Superior Orbital Fissure Syndrome Arising More than One Month after Herpes Zoster Ophthalmicus and Meningitis.

Sunao Takahashi, Kotaro Okabayashi, Itsuki Soejima, Ayako Oniki, Shoichiro Ishihara, Hiroyuki Tomimitsu

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Sunao TakahashiDepartment of Neurology, JA Toride Medical Center, Japan.
Kotaro OkabayashiDepartment of Neurology, JA Toride Medical Center, Japan.
Itsuki SoejimaDepartment of Neurology, JA Toride Medical Center, Japan.
Ayako OnikiDepartment of Neurology, JA Toride Medical Center, Japan.
Shoichiro IshiharaDepartment of Neurology, JA Toride Medical Center, Japan.
Hiroyuki TomimitsuDepartment of Neurology, JA Toride Medical Center, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 79-year-old woman developed herpes zoster ophthalmicus (HZO) with a vesicular rash on the nasal root, which developed soon after intravenous acyclovir therapy. Although varicella zoster virus DNA was undetectable in the cerebrospinal fluid, she presented with ophthalmoplegia without optic nerve dysfunction 32 days after the onset of HZO. We diagnosed the patient with superior orbital fissure syndrome and administered intravenous immunoglobulin and systemic corticosteroids. Ophthalmoplegia did not immediately respond to these therapies but resolved 4 months later. We should be aware that ophthalmoplegia can occur, even after HZO and meningitis are completely treated.

Indexed as

Herpes Zoster OphthalmicusMeningitis, ViralOphthalmoplegiaOrbital DiseasesAcyclovirAgedAntiviral AgentsFemaleHumansImmunoglobulins, IntravenousSyndromeTime FactorsAcyclovirAntiviral AgentsImmunoglobulins, Intravenousherpes zoster ophthalmicusmeningitismultiple cranial neuropathiessuperior orbital fissure syndromevaricella zoster virus

Identifiers

PMID38839332
PMCPMC11802228

What OpenQuestion holds

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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.