Evidence map›Paper›PMID 23568998›Full record

ReviewNeurology2013

PML diagnostic criteria: consensus statement from the AAN Neuroinfectious Disease Section.

Joseph R Berger, Allen J Aksamit, David B Clifford, Larry Davis, Igor J Koralnik, James J Sejvar, Russell Bartt, Eugene O Major, Avindra Nath

Open access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 330 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
330citing papers in PubMed, 2 pooled it
27.5field-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

330 citing papers in PubMed, 2 syntheses or guidelines pooled it, 684 citations in OpenAlex.

  1. Progressive multifocal leukoencephalopathy in multiple myeloma: a case report of a patient with SARS-CoV-2 infection and an updated systematic literature review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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270 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 1 country.

Joseph R BergerDepartment of Neurology, University of Kentucky, Lexington, USA. jrbneuro@uky.edu
Allen J Aksamit
David B Clifford
Larry Davis
Igor J Koralnik
James J Sejvar
Russell Bartt
Eugene O Major
Avindra Nath
University of New Mexico · USWashington University in St. Louis · USMayo Clinic in Arizona · USUniversity of Kentucky · US

Funding

NINDS Office of the Clinical DirectorZIDNS003101 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2009 to 2025
$219.6M
Neuropathogenesis of Retroviral InfectionsZIANS003130 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2011 to 2025
$73.7M
Molecular Pathogenesis Of JC Virus & Progressive Multifocal LeukoencephalopathyZIANS001983 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2009 to 2015
$6.6M
Role of Inflammation in Progressive Multifocal LeukoencephalopathyR01NS047029 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI KORALNIK, IGOR J. · 2004 to 2018
$6.4M
NINDS NIH HHS R01 NS047029
6 · The paper itself

Abstract

objectiveTo establish criteria for the diagnosis of progressive multifocal leukoencephalopathy (PML).

methodsWe reviewed available literature to identify various diagnostic criteria employed. Several search strategies employing the terms "progressive multifocal leukoencephalopathy" with or without "JC virus" were performed with PubMed, SCOPUS, and EMBASE search engines. The articles were reviewed by a committee of individuals with expertise in the disorder in order to determine the most useful applicable criteria.

resultsA consensus statement was developed employing clinical, imaging, pathologic, and virologic evidence in support of the diagnosis of PML. Two separate pathways, histopathologic and clinical, for PML diagnosis are proposed. Diagnostic classification includes certain, probable, possible, and not PML.

conclusionDefinitive diagnosis of PML requires neuropathologic demonstration of the typical histopathologic triad (demyelination, bizarre astrocytes, and enlarged oligodendroglial nuclei) coupled with the techniques to show the presence of JC virus. The presence of clinical and imaging manifestations consistent with the diagnosis and not better explained by other disorders coupled with the demonstration of JC virus by PCR in CSF is also considered diagnostic. Algorithms for establishing the diagnosis have been recommended.

Indexed as

ConsensusBrainDatabases, FactualFemaleHIV InfectionsHumansLeukoencephalopathy, Progressive MultifocalMagnetic Resonance ImagingMaleNeuroimagingOligodendroglia

Identifiers

PMID23568998
PMCPMC3662270
OpenAlexW2073728662

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.