Evidence map›Paper›PMID 41195039›Full record

ArticleJournal of general and family medicine2025

Low Sensitivity of Jolt Accentuation of Headache in Screening for Herpes Zoster-Associated Meningitis: A Retrospective Study of 70 Cases From a Single Institute.

Hajime Miyazawa, Ken Natsuga, Takashi Seo, Hideki Houzen, Hideyuki Ujiie

Abstract read
In one paragraph

Article in Journal of general and family medicine, 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

5 authors.

Hajime MiyazawaDepartment of Dermatology Obihiro Kosei General Hospital Obihiro Japan.ORCID https://orcid.org/0000-0002-0802-1864
Ken NatsugaDepartment of Dermatology, Faculty of Medicine and Graduate School of Medicine Hokkaido University Sapporo Japan.ORCID https://orcid.org/0000-0003-3865-6366
Takashi SeoDepartment of Dermatology Obihiro Kosei General Hospital Obihiro Japan.ORCID https://orcid.org/0000-0002-6830-9536
Hideki HouzenDepartment of Neurology Obihiro Kosei General Hospital Obihiro Japan.
Hideyuki UjiieDepartment of Dermatology, Faculty of Medicine and Graduate School of Medicine Hokkaido University Sapporo Japan.ORCID https://orcid.org/0000-0002-3489-5418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Jolt accentuation of headache (JAH) is well-described as a highly sensitive indicator for detecting meningitis. However, its effectiveness in identifying herpes zoster (HZ)-associated meningitis remains unclear. Objective: This study aims to evaluate the sensitivity and specificity of JAH and other clinical manifestations in diagnosing HZ-associated meningitis. Methods: We conducted a retrospective study of medical records from a single institution, comparing clinical features between HZ patients who developed meningitis and those who did not. Results: A total of 70 HZ patients were identified, 17 of whom were diagnosed with meningitis and the remaining 53 who were not. JAH was significantly more prevalent in HZ patients with meningitis compared to those without (29.4% vs. 3.8%, Conclusion: While JAH demonstrates high specificity, it lacks high sensitivity in diagnosing HZ-associated meningitis and does not outperform other meningitis-related indicators.

Indexed as

herpes zosterjolt accentuation of headachemeningitisneck stiffnessvaricella‐zoster virus

Identifiers

PMID41195039
PMCPMC12585793

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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.