Evidence map›Paper›PMID 41497916›Full record

ArticleCureus2025

A Rare Case of Brain Manifestation of Manganese Toxicity and Its Management: A Case Report and Literature Review.

Maulinkumar N Patel, Aastha Arunkumar Patel, Chandan Alenahalli Narayana, Rutuja Tere, Dhruvil Vinaybhai Patel, Saniah Khan, Zenia Elavia, Mansi Singh

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

8 authors.

Maulinkumar N PatelEpidemiology and Biostatistics, The University of Texas Health Science Center at Houston, Houston, USA.
Aastha Arunkumar PatelInternal Medicine, GMERS Medical College and Hospital, Gandhinagar, Gandhinagar, IND.
Chandan Alenahalli NarayanaCollege of Medicine, Bangalore Medical College and Research Institute, Bengaluru, IND.
Rutuja TereInternal Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, IND.
Dhruvil Vinaybhai PatelInternal Medicine, GMERS Medical College and Hospital, Gandhinagar, Gandhinagar, IND.
Saniah KhanInternal Medicine, King Edward Medical University, Lahore, PAK.
Zenia ElaviaCollege of Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.
Mansi SinghMedicine, Bogomolets National Medical University, Kyiv, UKR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Manganese (Mn) toxicity is a rare but perplexing condition, often difficult to diagnose due to its unusual clinical presentation. Mn toxicity's neurological symptoms can be nonspecific, making early diagnosis crucial. The unique association between chronic liver disease and Mn toxicity highlights the need for increased clinical awareness and further research. We present a case of a five-year-old Asian male child with chronic liver disease who presented with neurological symptoms due to brain Mn deposition and its management. Notably, Mn exhibits a propensity for preferential accumulation in the basal ganglia, specifically targeting dopamine-producing (DAergic) neurons. The child's response to interventions, including a reduction in Mn deposition in the brain using chelating therapy, underscores the significance of early recognition and comprehensive management in addressing this condition. This case report delves into an exceptional instance of Mn toxicity, emphasizing the significance of early recognition and interdisciplinary intervention.

Indexed as

acute on chronic liver diseaseconfabulationcontinuous chelationglobus pallidus lesionsmanganese toxicity

Identifiers

PMID41497916
PMCPMC12767262

What OpenQuestion holds

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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.