Evidence map›Paper›PMID 39099727›Full record

ArticleRadiology case reports2024

"Bloomy rind sign" in varicella-zoster virus brainstem meningoencephalitis.

Suzune Tsukamoto, Mitsunori Kanagaki, Yoichiro Hijikata, Shunsuke Ito, Kaori Kuriyama, Sayu Nagaoka, Mariko Akaogi, Hiroyuki Kimura

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Suzune TsukamotoDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Mitsunori KanagakiDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Yoichiro HijikataDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Shunsuke ItoDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Kaori KuriyamaDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Sayu NagaokaDepartment of Neurology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Mariko AkaogiDepartment of Neurology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Hiroyuki KimuraDepartment of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The bloomy rind sign, characterized by band-like abnormalities along the surface of the brainstem on magnetic resonance imaging without contrast enhancement, has been considered a specific imaging marker for leptomeningeal metastasis from lung adenocarcinoma. In this study, we describe the case of an 85-year-old male with a 3-week history of headache, fever, and progressive cognitive impairment. The patient was diagnosed with varicella-zoster virus brainstem meningoencephalitis and magnetic resonance imaging revealed hyperintensities along the brainstem surface on fluid-attenuated inversion recovery and diffusion-weighted imaging that mimicked a bloomy rind sign. However, the patient showed no signs of lung cancer or meningeal carcinomatosis. This case suggests that the bloomy rind sign is not exclusive to leptomeningeal metastasis but can also be observed in other conditions, such as central nervous system infections.

Indexed as

Bloomy rind signBrainstem meningoencephalitisVaricella-zoster virus

Identifiers

PMID39099727
PMCPMC11295971

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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.