Evidence map›Paper›PMID 41527640›Full record

ArticleCureus2025

Localized Subarachnoid Purulence Mimicking Aneurysmal Subarachnoid Hemorrhage: A Case Report.

Ken Shinno, Hitoshi Fukuda, Fumihiro Hamada, Masaki Yokodani, Yu Kawanishi, Namito Kida, Naoki Fukui, Masahiro Komori, Yu Arakawa, Mitsuko Iguchi and 2 more

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

12 authors.

Ken ShinnoDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Hitoshi FukudaDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Fumihiro HamadaDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Masaki YokodaniDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Yu KawanishiDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Namito KidaDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Naoki FukuiDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.
Masahiro KomoriDepartment of Otolaryngology, Kochi Medical School Hospital, Nankoku, JPN.
Yu ArakawaDepartment of Clinical Infectious Diseases, Kochi Medical School Hospital, Nankoku, JPN.
Mitsuko IguchiDepartment of Diagnostic Pathology, Kochi Medical School Hospital, Nankoku, JPN.
Yuka YamagishiDepartment of Clinical Infectious Diseases, Kochi Medical School Hospital, Nankoku, JPN.
Tetsuya UebaDepartment of Neurosurgery, Kochi Medical School Hospital, Nankoku, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subarachnoid purulence is generally formed secondary to the rupture of brain abscesses. Early diagnosis of subarachnoid purulence unrelated to brain abscesses is challenging because of the lack of specific neurological or radiological findings. In this article, we report a case of localized subarachnoid purulence mimicking aneurysmal subarachnoid hemorrhage. A 74-year-old woman with diabetes and a history of rhinosinusitis presented with a sudden deterioration of the level of consciousness, tonic posture, and fever. A head computed tomography (CT) scan revealed a high-density area in the left Sylvian fissure. Subsequent CT angiography revealed an ipsilateral posterior communicating artery aneurysm, suggesting a diagnosis of aneurysmal subarachnoid hemorrhage. Craniotomy for surgical clipping of the presumed ruptured aneurysm revealed a subarachnoid purulence rather than a clot. Antimicrobial agents were administered, and endoscopic sinus surgery was performed to control the infection. Histopathological and microbiological examinations of the sphenoid sinusitis and intracranial specimen revealed

Indexed as

aspergillusendoscopic sinus surgeryintracranial aneurysmsphenoid sinusitissubarachnoid hemorrhagesubarachnoid purulencesystemic inflammationvascular invasiveness

Identifiers

PMID41527640
PMCPMC12790694

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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.