Evidence map›Paper›PMID 41200643›Full record

ArticleCureus2025

Paraneoplastic Central and Peripheral Demyelination Secondary to Oesophagus Malignancy: A Case Report.

Farheen S Bhanu, Rithvik Ramesh, Lakshmi Narasimhan Ranganathan, Sundar Shanmugam, Philo Hazeena

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. 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.

Farheen S BhanuNeurology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Rithvik RameshNeurology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Lakshmi Narasimhan RanganathanNeurology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Sundar ShanmugamNeurology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Philo HazeenaNeurology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A man in his 60s presented with subacute weakness of his lower limbs, numbness, and urinary retention, preceded by fever a few weeks back. Nerve conduction studies showed demyelinating parameters, and magnetic resonance imaging showed long-segment cord T2/STIR hyperintensities and multifocal lesions in the brain. CSF showed albuminocytologic dissociation. Despite immunotherapy with intravenous immunoglobulin (IVIg), symptoms progressed. A PET-CT scan revealed thoracic oesophageal malignancy with lymphatic spread, confirmed on biopsy as an undifferentiated carcinoma. The case was diagnosed as paraneoplastic demyelination involving both the central and peripheral nervous systems. The patient later developed pulmonary thromboembolism. This case highlights simultaneous central and peripheral demyelination as a paraneoplastic manifestation and underscores the need for malignancy screening in demyelinating syndromes unresponsive to standard immunotherapies.

Indexed as

combined central and peripheral demyelinationimmunotherapy resistanceneurologic prognosisoesophageal cancerparaneoplastic neurological syndromes

Identifiers

PMID41200643
PMCPMC12588546

What OpenQuestion holds

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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.