Evidence map›Paper›PMID 41041489›Full record

ArticleCase reports in pediatrics2025

Isolated Abducens Nerve Palsy in an Adolescent With Confounding Multisystem Serology: A Case Report and Diagnostic Review.

Roberto Paparella, Irene Bernabei, Fabiola Panvino, Camilla Ajassa, Lorenzo Benedetti, Lucia Leonardi, Alberto Spalice, Luigi Tarani

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in pediatrics, 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
–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

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

8 authors.

Roberto PaparellaDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0001-7020-1471
Irene BernabeiDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.
Fabiola PanvinoDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0009-0007-2683-0052
Camilla AjassaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Lorenzo BenedettiDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Lucia LeonardiDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.
Alberto SpaliceDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.
Luigi TaraniDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0001-5958-9364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cranial nerve palsies in pediatric patients are rare and can be challenging to diagnose due to the broad spectrum of potential causes, including infections, inflammation, neoplasms, and idiopathic conditions. Abducens nerve palsy (ANP), though uncommon, is of particular interest due to its association with both intracranial and systemic pathologies. We present the case of a 16-year-old male who developed isolated left ANP of presumed infectious-inflammatory origin. Initial neurological and ophthalmological assessments revealed esotropia and marked abduction deficit without other cranial nerve involvement. Brain magnetic resonance imaging showed enhancement of the left abducens nerve consistent with neuritis, while cerebrospinal fluid analysis and initial laboratory investigations were unremarkable. Serological testing revealed low-positive IgM for

Indexed as

abducens nerve palsyadolescenceBorrelia burgdorferiChlamydia pneumoniaeherpes simplex virusMycoplasma pneumoniaeneuroborreliosisocular motility disorderspediatric

Identifiers

PMID41041489
PMCPMC12488298

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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.