Evidence map›Paper›PMID 39108604›Full record

ArticleJCEM case reports2024

Neurosarcoidosis With Panhypopituitarism: Two Cases and Literature Review.

Ewelina Niedzialkowska, Tatjana Blazin, Daniel Shelden, Eric D Buras

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. An overview of hypopituitarism's causes.Frontiers in endocrinology · 2025
    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

4 authors.

Ewelina NiedzialkowskaDepartment of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI 48073, USA.ORCID https://orcid.org/0009-0004-7811-9607
Tatjana BlazinDepartment of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI 48073, USA.
Daniel SheldenDivision of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI 48073, USA.
Eric D BurasDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48105, USA.

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
Fibro-adipogenic remodeling of the diaphragm in obesity-associated respiratory dysfunctionK08HL147377 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURAS, ERIC D · 2019 to 2023
$848k
NHLBI NIH HHS K08 HL147377NIDDK NIH HHS P30 DK020572
6 · The paper itself

Abstract

Neurosarcoidosis (NS) with hypothalamic-pituitary (HP) involvement (HP-NS) is a rare clinical condition, conferring variable hormonal deficits that are typically irreversible. Here, we present 2 cases of NS with panhypopituitarism. The first patient presented with cauda equina syndrome and arginine vasopressin deficiency, while the second developed recurrent optic neuritis and vision loss in the setting of a sellar mass. In the first case, neurological symptoms resolved after therapy with high-dose glucocorticoids, infliximab, and methotrexate; while in the second, visual restoration followed resection of the granulomatous tissue and immunosuppressive therapy. In both cases, pituitary dysfunction persisted despite neurological improvement. We contextualized the presentations and outcomes through a literature review of HP-NS case reports and case series. This revealed high rates of extraneurologic sarcoidosis in HP-NS patients with panhypopituitarism, while underscoring the need for hormonal replacement-as endocrinopathies rarely respond to sarcoidosis-directed immunosuppression.

Indexed as

arginine vasopressin deficiencyhypopituitarismneurosarcoidosispanhypopituitarism

Identifiers

PMID39108604
PMCPMC11301318

What OpenQuestion holds

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Registered trials

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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.