Evidence map›Paper›PMID 39812656›Full record

SynthesisJournal of neurology2025

Cerebral vasculitis related to neurosarcoidosis: a case series and systematic literature review.

Jan K Focke, Mosche Brokbals, Jana Becker, Roland Veltkamp, Diederik van de Beek, Matthijs C Brouwer, Willeke F Westendorp, Markus Kraemer

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. 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.

Jan K FockeDepartment of Neurology, Alfried Krupp Hospital, Essen, Germany.ORCID http://orcid.org/0000-0001-8014-5063
Mosche BrokbalsDepartment of Neurology, Alfried Krupp Hospital, Essen, Germany.ORCID http://orcid.org/0009-0005-0493-6409
Jana BeckerDepartment of Neurology, Alfried Krupp Hospital, Essen, Germany.
Roland VeltkampDepartment of Neurology, Alfried Krupp Hospital, Essen, Germany.ORCID http://orcid.org/0000-0002-0583-1300
Diederik van de BeekDepartment of Neurology, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Matthijs C BrouwerDepartment of Neurology, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Willeke F WestendorpDepartment of Neurology, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Markus KraemerDepartment of Neurology, Alfried Krupp Hospital, Essen, Germany. markus.kraemer@krupp-krankenhaus.de.ORCID http://orcid.org/0000-0002-5667-3621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral vasculitis is a rare but severe manifestation of neurosarcoidosis (NS) that has received little attention. The aim of the present study was to characterize clinical and diagnostic features as well as potential treatment strategies of cerebral vasculitis related to NS. We assessed 29 patients with cerebral vasculitis related to NS (15 female, mean age at time of diagnosis 45 years, SD = 11.85) among these were four new cases from our hospital records and 25 previously published cases from a systematic literature review. The demographic, clinical, and diagnostic features of those 29 patients with cerebral vasculitis related to NS were compared with a group of 73 NS patients without vasculitic involvement (37 female, mean age at time of diagnosis 47 years, SD = 14.79). Neurologic deficits and MRI abnormalities were significantly more frequent in cerebral vasculitis related to NS than in NS without vasculitic involvement. Patients with cerebral vasculitis related to NS significantly more often presented with headache, motor symptoms, and cognitive and/or behavioral changes. Non-neurologic manifestations of sarcoidosis did not significantly differ in character or frequency between both groups. Glucocorticoids in combination with methotrexate, cyclophosphamide, or infliximab were the most frequently used treatment strategies in cerebral vasculitis related to NS. Within the complex diagnostic work-up that is required in cerebral vasculitis related to NS sufficient angiographic imaging as digital subtraction angiography or MRI vessel wall imaging and tissue biopsy are of particular significance as they can detect vascular changes caused by inflammatory processes.

Indexed as

Central Nervous System DiseasesSarcoidosisVasculitis, Central Nervous SystemAdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedCerebral ischemiaIntracranial hemorrhageNeurosarcoidosisSarcoidosisStrokeVasculitis

Identifiers

PMID39812656
PMCPMC11735521

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.