Evidence map›Paper›PMID 23090334›Full record

ArticleJAMA neurology2013

Glycine receptor autoimmune spectrum with stiff-man syndrome phenotype.

Andrew McKeon, Eugenia Martinez-Hernandez, Eric Lancaster, Joseph Y Matsumoto, Robert J Harvey, Kathleen M McEvoy, Sean J Pittock, Vanda A Lennon, Josep Dalmau

Open access · bronzeAbstract readCase ReportsComparative Study
In one paragraph

Article in JAMA neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 pooled it
15.2field-weighted citation impact, top 1% of its field
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

85 citing papers in PubMed, 3 syntheses or guidelines pooled it, 209 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Long-Term Outcomes in Stiff Person Spectrum Disorder.European journal of neurology · 2026
    Article
  6. Review
  7. Movement Disorders in Antibody-Associated Neurologic Diseases: A Nationwide Study.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Observational
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Ten Years ofNeurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Andrew McKeonDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Eugenia Martinez-Hernandez
Eric Lancaster
Joseph Y Matsumoto
Robert J Harvey
Kathleen M McEvoy
Sean J Pittock
Vanda A Lennon
Josep Dalmau
Mayo Clinic · USCalifornia University of Pennsylvania · USUCL Australia · AUUniversitat Autònoma de Barcelona · ES

Funding

Paraneoplastic Disorders of the CNS: Autoantigen ProfilingR01NS077851 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DALMAU, JOSEP O. · 2011 to 2015
$1.9M
Autoimmunity Against Novel Antigens in Neuropsychiatric DysfunctionR01MH094741 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BALICE-GORDON, RITA J., DALMAU, JOSEP O. · 2011 to 2014
$1.3M
Paraneoplastic Disorders of CNS: Autoantigen ProfilingR01CA107192 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DALMAU, JOSEP O. · 2004 to 2007
$1.2M
Medical Research Council G0601585Medical Research Council MR/J004049/1NCI NIH HHS R01 CA107192NIMH NIH HHS R01 MH094741NIMH NIH HHS R01MH094741NINDS NIH HHS R01 NS077851NINDS NIH HHS R01NS077851
6 · The paper itself

Abstract

objectivesTo determine whether glycine receptor α1 subunit-specific autoantibodies (GlyRα1-IgG) occur in a broader spectrum of brainstem and spinal hyperexcitability disorders than the progressive encephalomyelitis with rigidity and myoclonus phenotype recognized to date, and to ascertain disease specificity.

designRetrospective, case-control study. SETTINGS: Mayo Clinic, Rochester, Minnesota, and University of Barcelona, Spain. PATIENTS: Eighty-one patients with stiff-man syndrome phenotype, 80 neurologic control subjects, and 20 healthy control subjects.

interventionGlycine receptor α1-transfected cells to test serum or cerebrospinal fluid from cases and control subjects.

main outcome measuresFrequency of GlyRα1-IgG positivity among stiff-man syndrome phenotype cases and control subjects. Comparison of GlyRα1-IgG seropositive and seronegative cases.

resultsSeropositive cases (12% of cases) included 9 with stiff-man syndrome (4 classic; 5 variant; 66% were glutamic acid decarboxylase 65-IgG positive) and 1 with progressive encephalomyelitis with rigidity and myoclonus. Immunotherapy responses were noted more frequently in GlyRα1-IgG-positive cases (6 of 7 improved) than in seronegative cases (7 of 25 improved; P= .02). The single seropositive control patient had steroid-responsive vision loss and optic atrophy with inflammatory cerebrospinal fluid.

conclusionsGlycine receptor α1-IgG aids identification of autoimmune brainstem/spinal cord hyperexcitability disorders and may extend to the glycinergic visual system.

Indexed as

PhenotypeAdolescentAdultAgedAge of OnsetAutoantibodiesBrain StemCase-Control StudiesChild, PreschoolFemaleHEK293 CellsHumansMaleMiddle AgedProtein SubunitsReceptors, GlycineAutoantibodiesProtein SubunitsReceptors, Glycine

Identifiers

PMID23090334
PMCPMC3718477
OpenAlexW2042810700

What OpenQuestion holds

Textmetadata
LicenceTDM
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.