Evidence map›Paper›PMID 41477425›Full record

ArticleCureus2025

Bilateral Optic Sheath Enhancement in Giant Cell Arteritis (GCA) Presenting With Occipital Neuralgia-Like Symptoms.

Ahmed Malik Abuelgasim Malik, Hossam Malik Abdalla, Yun Zou, Thomas Lambert

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Ahmed Malik Abuelgasim MalikAcute Internal Medicine, University Hospitals of North Midlands, Royal Stoke University Hospital, Stoke-on-Trent, GBR.
Hossam Malik AbdallaNeurology, University Hospitals of North Midlands, Royal Stoke University Hospital, Stoke-on-Trent, GBR.
Yun ZouRheumatology, Midlands Partnership NHS Foundation Trust, Stoke-on-Trent, GBR.
Thomas LambertNeurology, University Hospitals of North Midlands, Royal Stoke University Hospital, Stoke-on-Trent, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of an 86-year-old woman admitted with a two-week history of a bilateral occipital burning sensation, without fever, jaw claudication, or neck stiffness. Laboratory investigations revealed a markedly elevated C-reactive protein (CRP) level of 284 mg/L. Magnetic resonance imaging (MRI) of the head with contrast demonstrated bilateral hyperenhancement of the optic nerve sheaths. Although optic nerve signal changes are an uncommon manifestation of giant cell arteritis (GCA), the neurology team commenced high-dose oral prednisolone (60 mg once daily), considering GCA in the differential diagnosis. The patient showed rapid symptomatic and biochemical improvement following steroid initiation. Subsequent temporal artery ultrasound findings were consistent with GCA, supporting the diagnosis. This case highlights an unusual radiological presentation of GCA and underscores the importance of early empirical treatment to prevent irreversible visual complications.

Indexed as

angiotensin converting enzyme (ace)anterior ischemic optic neuropathy (aion)antineutrophil cytoplasmic antibody (anca)antinuclear antibodies (ana)computed tomography (ct)c-reactive protein (crp)erythrocyte sedimentation rate (esr)giant cell arteritis (gca)myelin oligodendrocyte glycoprotein antibody-associated disease (mogad)neuromyelitis optica spectrum disorders (nmosd)

Identifiers

PMID41477425
PMCPMC12750480

What OpenQuestion holds

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LicenceCC BY
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.