Evidence map›Paper›PMID 42831031›Full record

ArticleCureus2026

Isolated Aphasia as an Epileptic Manifestation of Neurosarcoidosis: A Case Report.

Martin Caluwaerts, Benjamin Legros, Valentine Melas, Dylan Mommens, Yahya Lablad

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.

Martin CaluwaertsEmergency Medicine, Hôpital Universitaire de Bruxelles (HUB), Erasme Hospital, Brussels, BEL.
Benjamin LegrosNeurology, Hôpital Universitaire de Bruxelles (HUB), Erasme Hospital, Brussels, BEL.
Valentine MelasFamily Medicine, Université Catholique de Louvain (UCLouvain), Brussels, BEL.
Dylan MommensRadiology, Hôpital Universitaire de Bruxelles (HUB), Erasme Hospital, Brussels, BEL.
Yahya LabladInternal Medicine, Hôpital Universitaire de Bruxelles (HUB), Erasme Hospital, Brussels, BEL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute aphasia requires urgent evaluation for stroke, but recurrent and stereotyped language disturbances may also reflect focal seizures. We report the case of a 23-year-old man brought to the emergency department (ED) with aphasia that had been present for approximately six hours. Over the preceding week, he had experienced several similar but briefer episodes that had resolved spontaneously. He was concurrently undergoing investigation at another institution for persistent hiccups and near-daily vomiting of more than one month's duration. Chest computed tomography (CT) and positron emission tomography (PET)-computed tomography had already shown mediastinal and mesenteric lymphadenopathy suggestive of sarcoidosis, although other etiologies, including malignancy, could not be excluded. Neurological examination was limited by the language disturbance but showed no obvious motor deficit. Brain computed tomography revealed obstructive hydrocephalus with transependymal cerebrospinal fluid flow and multiple enhancing nodular lesions, predominantly in and around the ventricular system. Electroencephalography demonstrated epileptiform activity, and the aphasia resolved after treatment with levetiracetam and clobazam. Further cerebrospinal fluid analysis, magnetic resonance imaging (MRI), and pathological investigations supported a diagnosis of probable neurosarcoidosis presenting with lymphocytic meningoencephalitis and obstructive hydrocephalus. This case illustrates an unusual pathophysiological sequence, isolated aphasia as a focal epileptic manifestation of neurosarcoidosis, and is a reminder that unexplained focal neurological symptoms, particularly when fluctuating or recurrent, warrant the consideration of seizures and early electroencephalography.

Indexed as

emergency medicineepileptic aphasiafocal epilepsyhydrocephalusneurological emergencyneurosarcoidosisnonconvulsive status epilepticussarcoidosisstroke mimic

Identifiers

PMID42831031
PMCPMC13634596

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.