Evidence map›Paper›PMID 22701032›Full record

ArticleBMJ case reports2011

Progressive multifocal leucoencephalopathy after autologous bone marrow transplantation: a treatment option.

P Ripellino, C Comi, M Mula, C Varrasi, A Conconi, A Stecco, D Brustia, N Nasuelli, K Savio, L De Paoli and 3 more

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

13 authors.

P RipellinoDepartment of Neurology, University of Turin, Turin, Italy. pao.ripe@hotmail.it
C Comi
M Mula
C Varrasi
A Conconi
A Stecco
D Brustia
N Nasuelli
K Savio
L De Paoli
R Cantello
G Gaidano
F Monaco

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A patient with multiple myeloma was treated with high-dose chemotherapy followed by two autologous bone marrow transplantations (ABMTs). Nine months after the second ABMT the patient complained of severe left hemiparesis, paraesthesias, left homonymous visual field defects and gait ataxia. She was diagnosed with progressive multifocal leucoencephalopathy (PML) confirmed by detection of JC virus (JCV) DNA and prescribed cidofovir every other week and mirtazapine daily. Her symptoms and signs remained stable and after 6 months the JCV DNA was undetectable in the cerebrospinal fluid. Repeated MRI scans demonstrated the stabilisation of demyelinating lesion volume; after more than 2 years of follow-up the patient's neurological examination does not show significant variations. Combination of cidofovir and mirtazapine may be helpful in the treatment of PML in HIV-negative patients.

Indexed as

Bone Marrow TransplantationAntidepressive Agents, TricyclicAntiviral AgentsCidofovirCytosineDrug Therapy, CombinationFemaleHumansLeukoencephalopathy, Progressive MultifocalMianserinMiddle AgedMirtazapineMultiple MyelomaOrganophosphonatesPostoperative ComplicationsTransplantation, AutologousAntidepressive Agents, TricyclicAntiviral AgentsCidofovirCytosineMianserinMirtazapineOrganophosphonates

Identifiers

PMID22701032
PMCPMC3079531

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.