Evidence map›Paper›PMID 25489887›Full record

ReviewThe neuroradiology journal2014

Progressive Multifocal Leukoencephalopathy Following Treatment with Rituximab in an HIV-Negative Patient with Non-Hodgkin Lymphoma. A Case Report and Literature Review.

Valentina Felli, Alessandra Di Sibio, Monica Anselmi, Antonio Gennarelli, Patrizia Sucapane, Alessandra Splendiani, Alessia Catalucci, Carmine Marini, Massimo Gallucci

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in The neuroradiology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 16% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Host-Immune Interactions in JC Virus Reactivation and Development of Progressive Multifocal Leukoencephalopathy (PML).Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. 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

9 authors at 2 institutions in 1 country.

Valentina FelliDivision of Radiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy - alessiacat@tiscali.it.
Alessandra Di SibioDivision of Radiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Monica AnselmiDivision of Radiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Antonio GennarelliDivision of Radiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Patrizia SucapaneDivision of Neurology, Department of Life, Health and Environmental Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Alessandra SplendianiDivision of Neuroradiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Alessia CatalucciDivision of Neuroradiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Carmine MariniDivision of Neurology, Department of Life, Health and Environmental Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
Massimo GallucciDivision of Neuroradiology, Department of Biotechnology and Applied Clinical Sciences, University of L'Aquila, San Salvatore Hospital of L'Aquila; L'Aquila, Italy.
San Salvatore Hospital · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive multifocal leukoencephalopathy (PML) is a rare rapidly progressive demyelinating disease of the central nervous system caused by reactivation of latent John Cunningham (JC) polyomavirus (JCV) infection. We describe an unusual case of PML in a 54-year-old patient with follicular non-Hodgkin lymphoma who received rituximab plus cyclophosphamide, hydroxydaunorubicin, oncovicin and prednisolone (R-CHOP) therapy. She started to notice gradual progressive neurological symptoms about two months after completion of rituximab treatment and was therefore admitted to hospital. On admission, brain CT and MRI showed widespread lesions consistent with a demyelinating process involving the subcortical and deep white matter of the cerebral and cerebellar hemispheres. CT and MRI findings were suggestive of PML, and JC virus DNA was detected by polymerase chain reaction assay of the cerebrospinal fluid and serum. The patient was treated supportively but reported a progressive worsening of the clinical and radiological findings. Our report emphasizes the role of CT and MRI findings in the diagnosis of PML and suggests that PML should be considered in patients with progressive neurological disorders involving the entire nervous system and mainly the white matter, especially in the presence of previous immunomodulatory treatment or immunosuppression.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBrainCyclophosphamideDoxorubicinFemaleHumansLeukoencephalopathy, Progressive MultifocalLymphoma, Non-HodgkinMagnetic Resonance ImagingMiddle AgedPrednisoneRituximabTomography, X-Ray ComputedVincristineAntineoplastic AgentsCyclophosphamideDoxorubicinPrednisoneRituximabVincristinefollicular non-Hodgkin lymphomaJC virusprogressive multifocal leukoencephalopathyrituximab

Identifiers

PMID25489887
PMCPMC4291798
OpenAlexW2313021796

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.