Tongue myokymia due to microscopic polyangiitis
Bibliographic record
Abstract
A woman in her 60s reported 'cramping' of her tongue, and examination showed continuous undulating movements of the right tongue typical of myokymia. MRI demonstrated compression of the right hypoglossal nerve and the right internal carotid artery by a soft tissue mass involving the right carotid space and hypoglossal canal. A biopsy of the mass was considered too dangerous, but anti-MPO-ANCA (myeloperoxidase specific antineutrophil cytoplasmic) antibodies were found positive, and a tentative diagnosis of MPO-ANCA-associated vasculitis (i.e., microscopic polyangiitis-MPA) was made. She was treated with intravenous corticosteroids and then oral prednisone. She did not tolerate rituximab, so was treated with cyclophosphamide, followed by azathioprine. Eight months later, MRI showed complete resolution of the lesion, and her anti-MPO antibodies became negative. Her tongue myokymia was greatly decreased, but had not completely resolved.
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
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".