000 02688nam a22003497a 4500
008 230626s20232023 xxu||||| |||| 00| 0 eng d
022 _a2168-8184
024 _a10.7759/cureus.37368 [doi]
024 _aPMC10171033 [pmc]
040 _aOvid MEDLINE(R)
099 _a37181995
245 _aBilateral Vocal Fold Paralysis in a Patient With Neurosarcoidosis: A ChatGPT-Driven Case Report Describing an Unusual Presentation.
251 _aCureus. 15(4):e37368, 2023 Apr.
252 _aCureus. 15(4):e37368, 2023 Apr.
253 _aCureus
260 _c2023
260 _fFY2023
260 _p2023 Apr
265 _sepublish
265 _tPubMed-not-MEDLINE
266 _d2023-06-26
520 _aThis ChatGPT-driven case report describes a unique presentation of neurosarcoidosis. The patient, a 58-year-old female, initially presented with hoarseness and was found to have bilateral jugular foramen tumors and thoracic lymphadenopathy. Imaging revealed significant enlargement and thickening of the vagus nerve and a separate mass of the cervical sympathetic trunk. The patient was referred for an ultrasound-guided biopsy of the abnormal neck masses to establish a pathologic diagnosis. The patient subsequently underwent neck dissection for exposure of the vagus nerve and isolation of the great vessels in preparation for a transmastoid approach to the skull base. The presence of multifocal tumors prompted the need for a biopsy, which ultimately revealed sarcoid granulomas in the nervous system. The patient was diagnosed with neurosarcoidosis. This case highlights the potential for sarcoidosis to affect the nervous system, with multiple cranial nerve involvement, seizures, and cognitive impairment. It also emphasizes the need for a combination of clinical, radiological, and pathological findings for an accurate diagnosis of neurosarcoidosis. Additionally, this case highlights the utility of natural language processing (NLP), as the entire case report was written using ChatGPT. This report serves as a comparison of the quality of case reports generated by humans versus NLP algorithms. The original case report can be found in the references. Copyright © 2023, Guirguis et al.
546 _aEnglish
650 _zAutomated
656 _aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 _aOtolaryngology Residency
657 _aCase Reports
700 _aCrossley, Jason
_bMGUH
_cOtolaryngology Residency
_dMD
_eResident PGY 4
790 _aGuirguis CA, Crossley JR, Malekzadeh S
856 _uhttps://dx.doi.org/10.7759/cureus.37368
_zhttps://dx.doi.org/10.7759/cureus.37368
942 _cART
_dArticle
999 _c12558
_d12558