Evidence map›Paper›PMID 41798553›Full record

ArticleCureus2026

The Characteristic "Tunnel Sign" on MRI as a Diagnostic Marker of Tunneling Abscesses in Listeria Rhombencephalitis in a Patient With Multiple Myeloma: A Case Report.

Madhushan Ranabahu, Nipuna Weerasinghe, Janya Jayawardena, Kishan Dissanayake, Janaka Peiris

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. 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

5 authors.

Madhushan RanabahuMedicine, Postgraduate Institute of Medicine, University of Colombo, Colombo, LKA.
Nipuna WeerasingheNeurology, National Hospital Kandy, Kandy, LKA.
Janya JayawardenaNeurology, National Hospital Kandy, Kandy, LKA.
Kishan DissanayakeRadiology, National Hospital Kandy, Kandy, LKA.
Janaka PeirisNeurology, National Hospital Kandy, Kandy, LKA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurolisteriosis is a rare but potentially serious CNS infection. Diagnosis can be established through bacteriological studies or by identifying characteristic tunneling abscesses in the CNS. Delayed initiation of appropriate antibiotic therapy may result in permanent structural brain damage, disability, or death. We report the case of a 65-year-old woman with multiple myeloma undergoing chemotherapy who presented with an acute febrile illness accompanied by drowsiness, slurred speech, difficulty swallowing, neck stiffness, and complex ophthalmoplegia. MRI of the brain demonstrated characteristic findings of the "tunnel sign," suggestive of a tunneling abscess in

Indexed as

ampicillinchemotherapyimmunocompromisedimmunoparesisophthalmoplegia

Identifiers

PMID41798553
PMCPMC12966772

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.