Evidence map›Paper›PMID 40127489›Full record

ArticleJournal of neurosurgery. Case lessons2025

Malignant peripheral nerve sheath tumor presenting in the cauda equina: diagnostic and biological pearls. Illustrative case.

Mason Bartman, Preston D'Souza, Kseniia Malkova, Joshua Michael Peterson, Joshua Currie, Matias Costa, Michelle Madden Felicella, Rishi Lall

Abstract read
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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.

Mason BartmanJohn Sealy School of Medicine, The University of Texas Medical Branch, Galveston, Texas.ORCID 0009-0007-9131-7482
Preston D'SouzaDepartment of Neurosurgery, The University of Texas Medical Branch, Galveston, Texas.
Kseniia MalkovaDepartment of Pathology, The University of Texas Medical Branch, Galveston, Texas.ORCID 0009-0003-2905-8951
Joshua Michael PetersonDepartment of Pathology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-7620-0584
Joshua CurrieJohn Sealy School of Medicine, The University of Texas Medical Branch, Galveston, Texas.ORCID 0009-0001-4871-0525
Matias CostaDepartment of Neurosurgery, The University of Texas Medical Branch, Galveston, Texas.ORCID 0000-0003-1833-4589
Michelle Madden FelicellaDepartment of Pathology, The University of Texas Medical Branch, Galveston, Texas.ORCID 0000-0003-0872-5113
Rishi LallDepartment of Neurosurgery, The University of Texas Medical Branch, Galveston, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant peripheral nerve sheath tumors (MPNSTs) are rare and highly malignant tumors of neural crest origin. No matter their anatomical location, they are difficult to treat and carry a poor prognosis. OBSERVATIONS: This report highlights the complexities of the diagnosis and management of a patient with MPNST of the cauda equina. The tumor retained the expression of H3K27me3, which is expected in spinal MPNSTs but uncommon in most sporadic and neurofibromatosis type 1-driven MPNSTs. LESSONS: The described diagnostic nuance should be taken into consideration in patients with suspected MPNST of the cauda equina, as these tumors require swift neurosurgical intervention in order to maintain neurological function. Additional treatment modalities include neoadjuvant and adjuvant chemotherapy and radiotherapy. Although improvements in local control and progression-free survival have been reported, the role of radiation therapy and chemotherapy has been underinvestigated due to the rarity of MPNSTs presenting in this region. https://thejns.org/doi/10.3171/CASE24723.

Indexed as

cauda equinaH3K27me3intradural extramedullary tumormalignant peripheral nerve sheath tumorMPNSTneurofibromatosis type 1NF1

Identifiers

PMID40127489
PMCPMC11933662

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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.