Evidence map›Paper›PMID 40230757›Full record

ArticleCureus2025

Sensory Aphasia After Cerebral Venous Sinus Thrombosis: Quantitative Evaluation of the Recovery Process of Language Function Using Tractography.

Tsukasa Koike, Takahiro Tsuchiya, Atsumi Takenobu, Akira Teraoka

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

4 authors.

Tsukasa KoikeDepartment of Neurosurgery, Teraoka Memorial Hospital, Fukuyama, JPN.
Takahiro TsuchiyaDepartment of Neurosurgery, Teraoka Memorial Hospital, Fukuyama, JPN.
Atsumi TakenobuDepartment of Neurosurgery, Teraoka Memorial Hospital, Fukuyama, JPN.
Akira TeraokaDepartment of Neurosurgery, Teraoka Memorial Hospital, Fukuyama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral venous sinus thrombosis (CVST) is a rare condition with high mortality that requires careful imaging evaluation. While arterial spin labeling (ASL) proves valuable for CVST assessment and diffusion tensor imaging (DTI) effectively evaluates language function in stroke, no studies have combined these techniques to assess the progression of higher brain dysfunction in CVST. A 59-year-old man presented with severe sensory aphasia. Magnetic resonance venography (MRV) showed left sigmoid sinus disruption with decreased proximal signal intensity, while conventional MRI showed no ischemic findings. The patient underwent sequential imaging with ASL and DTI using a 1.5 Tesla MRI system (SIGNA Explorer 1.5T, GE Healthcare Japan, Tokyo, Japan). The sensory aphasia was resolved by day two, coinciding with improvement in MRV and normalization of ASL findings. DTI tractography, analyzed using XTRACT auto-segmentation, showed changes in fractional anisotropy (FA) values of language-related white matter tracts that paralleled symptom improvement. Recovery of Chinese character reading and writing corresponded with changes in FA values in the inferior fronto-occipital and inferior longitudinal bundles, reflecting the resolution of venous congestion. This case demonstrates the complementary value of ASL and DTI in monitoring recovery from CVST. While ASL showed increased cerebral blood flow during the acute phase, DTI provided objective measures of functional recovery through changes in FA values in language-related white matter tracts. This combined imaging approach offers a promising method to assess both perfusion changes and functional recovery in CVST with associated higher brain dysfunction.

Indexed as

aphasiaarcuate fasciculusarterial spin labeling (asl)cerebral venous sinus thrombosis (cvst)fractional anisotropy (fa)fslinferior fronto-occipital fasciculusmrtrixtractographyxtract

Identifiers

PMID40230757
PMCPMC11996232

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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.