Evidence map›Paper›PMID 41473477›Full record

ArticleIDCases2025

Ophthalmoplegia and vision loss in extrapulmonary tuberculosis with bilateral cavernous sinus involvement.

Bilal Hassouneh, Francesco Genderini, Joachim G Schulz, Stelianos Kampouridis, François Willermain, Tom Buelens

Abstract readCase Reports
In one paragraph

Article in IDCases, 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

6 authors.

Bilal HassounehDepartment of Ophthalmology, CHU Saint-Pierre, Brussels, Belgium.
Francesco GenderiniDepartment of Infectious Diseases, CHU Saint-Pierre, Brussels, Belgium.
Joachim G SchulzDepartment of Neurology, CHU Saint-Pierre, Brussels, Belgium.
Stelianos KampouridisDepartment of Radiology, CHU Saint-Pierre, Brussels, Belgium.
François WillermainDepartment of Ophthalmology, CHU Saint-Pierre, Brussels, Belgium.
Tom BuelensDepartment of Ophthalmology, CHU Saint-Pierre, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 41-year-old woman who initially presented with headache, right hemifacial hypoesthesia, and a right abducens palsy. Initial external investigations failed to identify an etiology, and cerebral MRI was considered normal, although later review revealed subtle meningeal thickening. Approximately two months later, she developed a right pupil-involving oculomotor nerve palsy, followed by progressive visual loss in the right eye, a right inferior quadrantanopia, and a left abducens palsy. Repeat MRI demonstrated a new contrast-enhancing lesion in the right cavernous sinus, vasculitis involving the intracavernous segment of the left internal carotid artery, FLAIR hyperintensity involving the optic chiasm and left optic tract, and dural thickening with contrast enhancement consistent with pachymeningitis. Tuberculosis was suspected based on a positive QuantiFERON-TB Gold test. Cerebrospinal fluid analysis showed mild lymphocytic pleocytosis but was negative for

Indexed as

Cavernous sinus syndromeExtrapulmonary tuberculosisInternal carotid artery vasculitisOphthalmoplegiaParadoxical reactionVisual field quadrantanopia

Identifiers

PMID41473477
PMCPMC12747242

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.