Evidence map›Paper›PMID 40151280›Full record

ArticleRadiology case reports2025

Massive arachnoid granulation in the transverse sinuses on CT myelogram.

Beatriz A de Macedo, Dong Kun Kim, Brian J Burkett, Michael P Oien, Paul J Farnsworth, Benjamin A Johnson-Tesch, Ajay A Madhavan, Ian T Mark

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 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.

Beatriz A de MacedoSão Camilo Hospital, Fortaleza, Ceará, Brazil.
Dong Kun KimMayo Clinic, Department of Radiology, Rochester, MN, USA.
Brian J BurkettMayo Clinic, Department of Radiology, Rochester, MN, USA.
Michael P OienMayo Clinic, Department of Radiology, Rochester, MN, USA.
Paul J FarnsworthMayo Clinic, Department of Radiology, Rochester, MN, USA.
Benjamin A Johnson-TeschMayo Clinic, Department of Radiology, Rochester, MN, USA.
Ajay A MadhavanMayo Clinic, Department of Radiology, Rochester, MN, USA.
Ian T MarkMayo Clinic, Department of Radiology, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Giant arachnoid granulations have been previously reported in the literature, with the largest documented measuring 6 cm and usually associated with significant clinical symptoms. Herein, we present a patient with a massive, irregular-shaped arachnoid granulation occupying both transverse sinuses, a finding that has not yet been reported. The patient, who had a history of transvenous CSF-venous fistula (CVF) embolization, presented with persistent left occipital headaches. Digital subtraction myelography (DSM) to investigate a residual or recurrent CVF yielded negative results. Contrast enhanced brain MRI showed a nonenhancing lobulated lesion in the expected location of, but distinct from the transverse sinuses. The patient was later started on indomethacin, which completely resolved his headaches, consistent with the diagnosis of hemicrania continua. This indicated that the arachnoid granulation was an incidental finding despite its unusual size.

Indexed as

CT myelogramDigital subtraction myelographyDSMGiant arachnoid granulation

Identifiers

PMID40151280
PMCPMC11937633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.