Early Syringomyelia in Tubercular Meningitis: A Rare Occurrence
Bibliographic record
Abstract
Tubercular meningitis (TBM) can have varied early and delayed complications involving brain or spinal cord. Although syringomyelia can occur sometimes as a late complication of tubercular meningitis, its occurrence in early stages of TBM is very rare. There are only two published case reports of syringomyelia in acute stage of TBM. We report a patient with tubercular meningitis who developed syringomyelia in early disease course. A 26-year-old female presented with history of fever, severe headache and vomiting for last two and half months. Patient ’ s history and clinical examination was suggestive of chronic meningitis with raised intracranial pressure. Cerebrospinal fluid analysis showed evidence of TBM. Patient was started on antitubercular drugs and during treatment course she developed acute onset motor weakness of all four limbs. Magnetic resonance imaging (MRI) showed long segment syrinx extending from C3 to T3 region. After thecoperitoneal shunting there was improvement in motor power. doi: http://dx.doi.org/10.4021/jnr172w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".