Evidence map›Paper›PMID 39312804›Full record

ArticleJournal of neurosurgery. Case lessons2024

Late meningitis and a nonabsorbable stent in recurrent Rathke's cleft cyst: illustrative case.

Simona Serioli, Vincenzo Mastropasqua, Giorgia De Rosa, Romina Ebrahimian, Pierpaolo Mattogno, Mario Rigante, Simona Gaudino, Salvatore Maria Corsello, Liverana Lauretti, Rita Murri and 3 more

Abstract read
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Simona SerioliDivision of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Vincenzo MastropasquaNeurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Giorgia De RosaNeurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Romina EbrahimianNeurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Pierpaolo MattognoNeurosurgery, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Mario RiganteOtorhinolaryngology and Head-Neck Surgery, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Simona GaudinoDepartment of Radiological Sciences, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Salvatore Maria CorselloUnit of Endocrinology, Department of Translational Medicine and Surgery, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Liverana LaurettiNeurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Rita MurriInfectious Disease, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Marco GessiNeuropathology, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Alessandro OliviNeurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Francesco DogliettoNeurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of recurrent Rathke's cleft cysts (RCCs) remains challenging. The off-label application of steroid-eluting bioabsorbable or nonabsorbable intracystic stents has been recently described. Early outcomes and complications of this treatment have been described as well, but long-term data are lacking. OBSERVATIONS: A 31-year-old woman who had undergone 3 prior transsphenoidal surgeries for recurrent RCC at other institutions was admitted for methicillin-susceptible Staphylococcus aureus meningitis. Five years earlier, a nonabsorbable stent had been placed in the cyst using a microsurgical transsphenoidal approach. RCC recurrence had been radiologically evident after 2 years but was clinically asymptomatic. Acute cerebrospinal fluid leakage and other causes of meningitis were ruled out; the stent was occluded. After antibiotic therapy and resolution of the meningitis, the patient underwent endoscopic removal of the catheter, excision of the cyst, and reconstruction with a nasoseptal flap. At the 18-month follow-up, she remained neurologically intact, under replacement therapy, and with no signs of recurrence. LESSONS: The authors report the first case of late meningitis due to a nonabsorbable stent positioned for the treatment of a recurrent RCC. Currently, data on the long-term outcomes, failure rates, and complications of stents for RCC are limited. https://thejns.org/doi/10.3171/CASE2477.

Indexed as

case reportintracystic stentmeningitisnonabsorbable devicerecurrent Rathke’s cleft cyst

Identifiers

PMID39312804
PMCPMC11418644

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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.