Evidence map›Paper›PMID 41504787›Full record

ArticleNeuroradiology2026

"Bright Tongue" and "Wine Glass" signs in amyotrophic lateral sclerosis.

João Alfredo M M de Barros, Arthur Felipe B Vasconcelos, Ana Luísa C B Gomes, Luíza Maria G de Sousa, Alex T Meira

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2026. 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

5 authors.

João Alfredo M M de BarrosDepartamento de Medicina Interna, Federal University of Paraíba, João Pessoa, Brazil. jalfredommdb@gmail.com.
Arthur Felipe B VasconcelosServiço de Neurologia, Hospital Metropolitano Dom José Maria Pires, João Pessoa, Brazil.
Ana Luísa C B GomesServiço de Neurologia, Hospital Metropolitano Dom José Maria Pires, João Pessoa, Brazil.
Luíza Maria G de SousaAFYA - Faculdade de Ciências Médicas da Paraíba, João Pessoa, Brazil.
Alex T MeiraDepartamento de Medicina Interna, Federal University of Paraíba, João Pessoa, Brazil. alex.m.meira@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 43-year-old male patient presented with monoparesis in his left leg, which had persisted for one year, then progressed to spastic dysarthria, tetraparesis, wide-based gait, muscle atrophy, weakness, fasciculations, and signs of pyramidal signs in all limbs. Brain MRI findings revealed hyperintensities on T2/FLAIR and diffusion-weighted imaging (DWI) along the corticospinal tracts, extending from the corona radiata and internal capsules to the brainstem, the "bright tongue sign" and the "wine glass sign,". This case highlights the classic findings in amyotrophic lateral sclerosis, which was confirmed by electroneuromyography.

Indexed as

Amyotrophic Lateral SclerosisMagnetic Resonance ImagingAdultDiagnosis, DifferentialDiffusion Magnetic Resonance ImagingHumansMaleAmyotrophic lateral sclerosisMagnetic resonance imagingNeuroimaging

Identifiers

PMID41504787

What OpenQuestion holds

Textmetadata
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.