Evidence map›Paper›PMID 40102389›Full record

SynthesisSpinal cord series and cases2025

Tuberculous myelitis: a systematic review of published case reports and case series.

Ravindra Kumar Garg, Neeraj Kumar, Ravi Uniyal, Praveen Kumar Sharma, Hardeep Singh Malhotra, Imran Rizvi

Abstract readSystematic Review
In one paragraph

Synthesis in Spinal cord series and cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Ravindra Kumar GargDepartment of Neurology, King George's Medical University, Lucknow, 226003, India. garg50@yahoo.com.ORCID 0000-0003-0044-7083
Neeraj KumarDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.
Ravi UniyalDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.
Praveen Kumar SharmaDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.
Hardeep Singh MalhotraDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.
Imran RizviDepartment of Neurology, King George's Medical University, Lucknow, 226003, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA systematic review.

objectivesTuberculous myelitis, an uncommon disorder, often manifests as transverse myelopathy. The majority of the literature comprises isolated case reports, necessitating a systematic review for better understanding and management.

settingUttar Pradesh India.

methodsOur review followed PRISMA guidelines, searching PubMed, Scopus, Embase, and Google Scholar with no language constraints. Quality assessment of reports was based on selection, ascertainment, causality, and reporting. Data synthesis was qualitative with categorical and continuous data representation.

resultsWe analyzed 34 reports describing 39 individuals. The majority (85%) had a duration of illness of one month or less. Upper motor neuron paraparesis was the most common neurological manifestation (69.2%), followed by areflexic paraparesis (15.3%). Paradoxical reactions occurred in 20.5% of cases. Microbiological confirmation was achievable in approximately 77% of cases. Neuroimaging abnormalities were present in 41% of cases, and chest imaging abnormalities in 53.9%. Longitudinally-extensive hyperintensities in cervical and thoracic regions were common spinal imaging abnormalities. Central nervous system tuberculosis was confirmed in 47.7% of cases, while pulmonary and disseminated tuberculosis were each found in 25.6%. Improvement was noted in 87.2% of cases, while 10.3% did not improve or died.

conclusionTuberculous myelitis, is a distinct spinal cord disease. Most cases had microbiological confirmation, and the majority showed improvement with treatment.

Indexed as

MyelitisTuberculosis, SpinalHumans

Identifiers

PMID40102389
PMCPMC11920074

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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.