{"id":"https://openalex.org/W4375852995","doi":"https://doi.org/10.1212/wnl.0000000000207386","title":"Clinical Reasoning: A 67-Year-Old Man With Multiple Intracranial Lesions","display_name":"Clinical Reasoning: A 67-Year-Old Man With Multiple Intracranial Lesions","publication_year":2023,"publication_date":"2023-05-08","ids":{"openalex":"https://openalex.org/W4375852995","doi":"https://doi.org/10.1212/wnl.0000000000207386","pmid":"https://pubmed.ncbi.nlm.nih.gov/37156616","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10449443"},"language":"en","primary_location":{"id":"doi:10.1212/wnl.0000000000207386","doi":"https://doi.org/10.1212/wnl.0000000000207386","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1212/wnl.0000000000207386","pdf_url":"https://www.neurology.org/doi/pdf/10.1212/WNL.0000000000207386","source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.neurology.org/doi/pdf/10.1212/WNL.0000000000207386","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113378042","display_name":"Angeline B. Ngo","orcid":"https://orcid.org/0009-0002-1422-1026","observed_orcids":["https://orcid.org/0009-0002-1422-1026"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Angeline Ngo","raw_affiliation_strings":["From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212","https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081037450","display_name":"Kevin McGehrin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin McGehrin","raw_affiliation_strings":["From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212","https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017043816","display_name":"Christina Di Loreto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christina Di Loreto","raw_affiliation_strings":["From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212","https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033375899","display_name":"Rajan Arora","orcid":"https://orcid.org/0000-0001-9816-8140","observed_orcids":["https://orcid.org/0000-0001-9816-8140"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rajan Arora","raw_affiliation_strings":["From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212","https://openalex.org/I36258959"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035058203","display_name":"Jamie Nicole LaBuzetta","orcid":"https://orcid.org/0000-0002-7498-524X","observed_orcids":["https://orcid.org/0000-0002-7498-524X"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jamie Nicole LaBuzetta","raw_affiliation_strings":["From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Neurosciences (A.N., K.M., J.N.L.), University of California San Diego; Office of the Coroner Ada County (C.D.L.), Boise, ID; and Department of Neurology (R.A.), Keck School of Medicine of USC, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212","https://openalex.org/I36258959"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.10059725,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"101","issue":"8","first_page":"e845","last_page":"e851"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.28049999475479126,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.28049999475479126,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.1648000031709671,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":0.13680000603199005,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ataxia","display_name":"ataxia","score":0.6489999890327454},{"id":"https://openalex.org/keywords/headache","display_name":"headache","score":0.8939999938011169},{"id":"https://openalex.org/keywords/nausea","display_name":"nausea","score":0.8389999866485596},{"id":"https://openalex.org/keywords/corticosteroid-therapy","display_name":"corticosteroid therapy","score":0.7459999918937683},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.9110000133514404},{"id":"https://openalex.org/keywords/brain-mri","display_name":"brain MRI","score":0.6240000128746033},{"id":"https://openalex.org/keywords/lesion-progression","display_name":"lesion progression","score":0.675000011920929},{"id":"https://openalex.org/keywords/diagnostic-workup","display_name":"diagnostic workup","score":0.7400000095367432},{"id":"https://openalex.org/keywords/clinical-reasoning","display_name":"clinical reasoning","score":0.4169999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8244703412055969},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.6175768375396729},{"id":"https://openalex.org/C2780906641","wikidata":"https://www.wikidata.org/wiki/Q213373","display_name":"Ataxia","level":2,"score":0.590721070766449},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.46265727281570435},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.42230409383773804},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3470948338508606},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2846294045448303},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D001921","descriptor_name":"Brain","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D006423","descriptor_name":"Hemianopsia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016848","descriptor_name":"Naegleria fowleri","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020808","descriptor_name":"Central Nervous System Protozoal Infections","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D020808","descriptor_name":"Central Nervous System Protozoal Infections","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1212/wnl.0000000000207386","doi":"https://doi.org/10.1212/wnl.0000000000207386","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1212/wnl.0000000000207386","pdf_url":"https://www.neurology.org/doi/pdf/10.1212/WNL.0000000000207386","source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10449443","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10449443","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10449443/pdf/WNL-2023-000237.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"Text"},{"id":"pmid:37156616","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37156616","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"Case Reports"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt9rg892x9","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/9rg892x9","pdf_url":"https://escholarship.org/content/qt9rg892x9/qt9rg892x9.pdf","source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Neurology, vol 101, iss 8","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1212/wnl.0000000000207386","doi":"https://doi.org/10.1212/wnl.0000000000207386","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1212/wnl.0000000000207386","pdf_url":"https://www.neurology.org/doi/pdf/10.1212/WNL.0000000000207386","source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320332603","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4375852995.pdf","grobid_xml":"https://content.openalex.org/works/W4375852995.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2013547323","https://openalex.org/W2045382081","https://openalex.org/W2060549911","https://openalex.org/W2099927401","https://openalex.org/W2102982278","https://openalex.org/W2119681719","https://openalex.org/W2122863580","https://openalex.org/W2125149007","https://openalex.org/W2127182067","https://openalex.org/W2297375305","https://openalex.org/W2946146733","https://openalex.org/W3020867682","https://openalex.org/W4224240390","https://openalex.org/W4249746327"],"related_works":["https://openalex.org/W4401549483","https://openalex.org/W2411826550","https://openalex.org/W2399597563","https://openalex.org/W4412128551","https://openalex.org/W2793099113","https://openalex.org/W4411438454","https://openalex.org/W2118038927","https://openalex.org/W2160481277","https://openalex.org/W7124752780","https://openalex.org/W3038131289"],"abstract_inverted_index":{"A":[0,84],"wide":[1],"variety":[2],"of":[3,47,58,63],"diseases":[4],"present":[5],"with":[6,22,80],"intracranial":[7,33,65,82],"lesions.":[8,34,66],"In":[9],"this":[10],"case":[11,68],"report,":[12],"a":[13,45,70],"67-year-old":[14],"man":[15],"initially":[16],"presented":[17],"to":[18,30],"an":[19],"outside":[20],"hospital":[21],"nausea,":[23],"headache,":[24],"and":[25,27,40,49,73,90],"ataxia":[26],"was":[28,37],"found":[29],"have":[31],"multiple":[32],"Diagnostic":[35],"workup":[36],"ultimately":[38,88],"unrevealing,":[39],"his":[41,64],"condition":[42],"improved":[43],"after":[44],"course":[46],"steroids":[48],"antibiotics.":[50],"Unfortunately,":[51],"symptoms":[52],"returned":[53],"3":[54],"months":[55],"later.":[56],"MRI":[57],"the":[59],"brain":[60],"revealed":[61],"progression":[62],"This":[67],"highlights":[69],"diagnostic":[71],"approach":[72],"general":[74],"management":[75],"strategy":[76],"for":[77],"patients":[78],"presenting":[79],"undifferentiated":[81],"pathology.":[83],"final":[85],"diagnosis":[86],"is":[87],"reached":[89],"raises":[91],"further":[92],"discussion.":[93]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-05-10T00:00:00"}
