Evidence map›Paper›PMID 40113255›Full record

Observational studyAJNR. American journal of neuroradiology2025

Involvement Beyond Peripheral Nerves in Pure Neuritic Leprosy: An MR Imaging Study.

Sanjeev Kumar Bhoi, Suprava Naik, Yuvraj Lahre, Menka Jha, Suvendu Purkait, Priyanka Samal, Gautom Kumar Saharia, V R Sree Charan, Pritimayee Behera

Abstract readObservational Study
In one paragraph

Observational study in AJNR. American journal of neuroradiology, 2025. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sanjeev Kumar BhoiFrom the Department of Neurology (S.K.B., Y.L., M.J., P.S., P.B.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India sanjeev_bhoi@rediffmail.com.ORCID 0000-0002-5192-7637
Suprava NaikDepartment of Radiodiagnosis (S.N., V.R.S.C.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.ORCID 0000-0002-0793-9702
Yuvraj LahreFrom the Department of Neurology (S.K.B., Y.L., M.J., P.S., P.B.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Menka JhaFrom the Department of Neurology (S.K.B., Y.L., M.J., P.S., P.B.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Suvendu PurkaitDepartment of Pathology and Laboratory Medicine (S.P.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Priyanka SamalFrom the Department of Neurology (S.K.B., Y.L., M.J., P.S., P.B.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Gautom Kumar SahariaDepartment of Biochemistry (G.K.S.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
V R Sree CharanDepartment of Radiodiagnosis (S.N., V.R.S.C.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Pritimayee BeheraFrom the Department of Neurology (S.K.B., Y.L., M.J., P.S., P.B.), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePure neuritic leprosy (PNL) is an uncommon form of leprosy involving peripheral nerves alone. Some isolated case reports and observational studies have shown imaging changes in the CNS in patients with leprosy. This prospective observational study evaluates the involvement of the nervous system beyond peripheral nerve among patients with PNL with MR imaging. MATERIALS AND

methodsWe screened patients presenting with features of neuropathy and/or thickened nerves. Patients were subjected to detailed clinical examination, routine tests along with nerve conduction study, and biopsy of peripheral nerve, usually the sural nerve. MRI of brachial and lumbar plexus, dorsal root ganglia, spinal cord, and brain were evaluated in patients with histopathologically confirmed Hansen neuritis.

resultsOf 86 patients screened for PNL, 52 were positive on nerve biopsy. Most patients were men (86.53%) and the mean age was 45.72 ± 15.25 years. Asymmetrical polyneuropathy was the most common nerve conduction study pattern in 55.76% (29/52) patients. We found abnormal imaging findings in 21 (40.38%) patients. Ganglionitis was the most common finding seen in 14 (26.92%) patients followed by plexitis (15.38%) and myelitis (11.53%). Patients with MRI lesions were younger and were found to have more functional impairment and raised CSF protein.

conclusionsIn PNL, many patients have subclinical involvement of dorsal root ganglion, brachial plexus, lumbar plexus, and spinal cord. Exact pathophysiology of CNS involvement is not clear; however, imaging of the above-mentioned regions may help in early diagnosis and prevent complications. These MRI findings in PNL are important considerations when assessing patients with peripheral neuropathy.

Indexed as

LeprosyMagnetic Resonance ImagingNeuritisPeripheral NervesAdultAgedFemaleHumansMaleMiddle AgedPeripheral Nervous System DiseasesProspective StudiesSensitivity and SpecificityYoung Adult

Identifiers

PMID40113255
PMCPMC11979836

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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.