Evidence map›Paper›PMID 40469324›Full record

ArticleSurgical neurology international2025

Craniocervical hypertrophic pachymeningitis.

Murilo Dos Santos Mancilha, Filipi Fim Andreão, Bárbara de Ávila Costa Januário, Filipe Virgilio Ribeiro, Matheus Nepomuceno Fernandes, Luis Flavio Fabrini Paleare, Bruno Pasqualino Aguilar da Silva, Marcelo Medeiros Felippe, Danilo Gomes Quadros

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In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Murilo Dos Santos MancilhaDepartment of Neurosurgery, Anhembi Morumbi University, São José dos Campos, São Paulo, Brazil.
Filipi Fim AndreãoDepartment of Neurosurgery, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Bárbara de Ávila Costa JanuárioDepartment of Neurosurgery, Anhembi Morumbi University, São José dos Campos, São Paulo, Brazil.
Filipe Virgilio RibeiroDepartment of Medicine, Barão de Mauá University Center, Faculty of Medicine, Ribeirão Preto, São Paulo, Brazil.
Matheus Nepomuceno FernandesDepartment of Neurosurgery, Anhembi Morumbi University, São José dos Campos, São Paulo, Brazil.
Luis Flavio Fabrini PaleareDepartment of Medicine and Life Sciences, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Bruno Pasqualino Aguilar da SilvaDepartment of Neurosurgery, Neurosolution Clinic, São José dos Campos, Brazil.
Marcelo Medeiros FelippeDepartment of Neurosurgery, Neurosolution Clinic, São José dos Campos, Brazil.
Danilo Gomes QuadrosDepartment of Neurosurgery, Nucleo Oscar Freire, Salvador, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypertrophic pachymeningitis (HP) is a rare neurological disorder characterized by dural thickening. Here, we discuss the diagnosis and surgical management of a 38-year-old whose myelopathy was attributed to dorsally compressive HP extending from the lower cerebellar fossa to C3. Case Description: A 38-year-old male with Sjögren's syndrome presented with cervical pain, upper limb paresis, dysphagia, and left-sided tongue/palate paralysis. The cervical magnetic resonance (MR) showed a dorsally compressive lower cerebellar fossa to C3 lesion. When the biopsy revealed HP, and once conservative treatment failed, the patient successfully underwent a posterior surgical decompression, lesion debulking, and craniocervical fusion. Conclusion: Cervical HPs should be diagnosed early on MR, and those with significant myelopathy, aggressively surgically treated.

Indexed as

Case reportCraniocervical junctionDural thickeningHypertrophic pachymeningitisMeningitis

Identifiers

PMID40469324
PMCPMC12134825

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