Evidence map›Paper›PMID 24825964›Full record

ArticleBehavioural neurology2014

Evaluation of incidence and clinical features of antibody-associated autoimmune encephalitis mimicking dementia.

Arzu Çoban, Cem Ismail Küçükali, Başar Bilgiç, Nazlı Yalçınkaya, Hazal Haytural, Canan Ulusoy, Selin Turan, Sibel Çakır, Alp Uçok, Hüseyin Ünübol and 3 more

Open access · goldAbstract read
In one paragraph

Article in Behavioural neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Serum glutamate decarboxylase antibodies and neurological disorders: when to suspect their association?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Observational
  8. Review
  9. Article
  10. Sleep and neurological autoimmune diseases.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Review
  11. Article
  12. Rapid Eye Movement Sleep Abnormalities in Children with Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS).Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Article
  13. Review
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 at 2 institutions in 1 country.

Arzu ÇobanDepartment of Neurology, Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi, Capa, 34390 Istanbul, Turkey.
Cem Ismail KüçükaliDepartment of Neuroscience, Institute for Experimental Medical Research (DETAE), Istanbul University, 34093 Istanbul, Turkey.
Başar BilgiçDepartment of Neurology, Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi, Capa, 34390 Istanbul, Turkey.
Nazlı YalçınkayaDepartment of Neuroscience, Institute for Experimental Medical Research (DETAE), Istanbul University, 34093 Istanbul, Turkey.
Hazal HayturalDepartment of Neuroscience, Institute for Experimental Medical Research (DETAE), Istanbul University, 34093 Istanbul, Turkey.
Canan UlusoyDepartment of Neuroscience, Institute for Experimental Medical Research (DETAE), Istanbul University, 34093 Istanbul, Turkey.
Selin TuranDepartment of Neuroscience, Institute for Experimental Medical Research (DETAE), Istanbul University, 34093 Istanbul, Turkey.
Sibel ÇakırDepartment of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, 34390 Istanbul, Turkey.
Alp UçokDepartment of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, 34390 Istanbul, Turkey.
Hüseyin ÜnübolIstanbul Erenkoy Psychiatric and Neurological Disorders Hospital, 34736 Istanbul, Turkey.
Hasmet A HanagasiDepartment of Neurology, Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi, Capa, 34390 Istanbul, Turkey.
Hakan GürvitDepartment of Neurology, Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi, Capa, 34390 Istanbul, Turkey.
Erdem TüzünDepartment of Neuroscience, Institute for Experimental Medical Research (DETAE), Istanbul University, 34093 Istanbul, Turkey.
Istanbul University · TRBakırköy Psychiatric Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-neuronal autoimmunity may cause cognitive impairment that meets the criteria for dementia. Objective. Our aim was to detect the incidence and clinical features of autoimmune encephalitis imitating clinical findings of primary dementia disorders and to delineate the validity of anti-neuronal antibody screening in dementia patients.

methodsFifty consecutive patients fulfilling the clinical criteria for primary dementia, 130 control patients, and 50 healthy controls were included. Their sera were investigated for several ion channel and glutamic acid decarboxylase (GAD) antibodies by a cell-based assay, radioimmunoassay, and ELISA, as required.

resultsSixteen patients satisfying dementia criteria had atypical findings or findings suggestive of autoimmune encephalitis. N-methyl-D-aspartate receptor (NMDAR) antibody was detected in a patient with dementia, Parkinsonism, and REM sleep behavior disorder (RBD) fulfilling the criteria for dementia with Lewy bodies (DLB). One control patient with bipolar disease displayed low anti-GAD antibody levels.

conclusionsOur study showed for the first time the presence of parkinsonism and RBD in an anti-NMDAR encephalitis patient mimicking DLB. Although autoimmune encephalitis patients may occasionally present with cognitive decline, most dementia patients do not exhibit anti-neuronal antibodies, suggesting that routine analysis of these antibodies in dementia is not mandatory, even though they display atypical features.

Indexed as

AdultAgedAged, 80 and overBrain DiseasesDementiaDiagnosis, DifferentialEncephalitisFemaleHashimoto DiseaseHumansIncidenceMaleMiddle Aged

Identifiers

PMID24825964
PMCPMC4006617
OpenAlexW2083955271

What OpenQuestion holds

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Registered trials

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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.