Evidence map›Paper›PMID 25564483›Full record

ArticleJournal of child neurology2015

Diagnostic Clues to Human Herpesvirus 6 Encephalitis and Wernicke Encephalopathy After Pediatric Hematopoietic Cell Transplantation.

Zsila Sadighi, Noah D Sabin, Randall Hayden, Elizabeth Stewart, Asha Pillai

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of child neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. A Clinician's View of Wernicke-Korsakoff Syndrome.Journal of clinical medicine · 2022
    Review
  6. Review
  7. Review
  8. Review
  9. 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

5 authors at 1 institution in 1 country.

Zsila SadighiDepartment of Neurology, St Jude Children's Research Hospital, Memphis, TN, USA zsila.sadighi@stjude.org.
Noah D SabinSt Jude Children's Research Hospital, Memphis, TN, USA.
Randall HaydenSt Jude Children's Research Hospital, Memphis, TN, USA.
Elizabeth StewartSt Jude Children's Research Hospital, Memphis, TN, USA.
Asha PillaiDepartment of Bone Marrow Transplantation and Cellular Therapy, St Jude Children's Research Hospital, Memphis, TN, USA asha.pillai@stjude.org.
St. Jude Children's Research Hospital · US

Funding

REGULATORY T CELLS, MIXED CHIMERISM: A NOVEL TRANSPLANT STRATEGY FOR THALASSEMIASK08HL088260 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI PILLAI, ASHA BHASKARAN · 2008 to 2012
$653k
NOVEL INNATE MECHANISMS OF IMMUNE TOLERANCE INDUCTION IN ALLOGENEIC HCT FOR HEMOGLOBINOPATHIESR56HL125449 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PILLAI, ASHA BHASKARAN · 2015 to 2015
$446k
NHLBI NIH HHS K08 HL088260NHLBI NIH HHS K08 HL-088260-06NHLBI NIH HHS R56 HL125449
6 · The paper itself

Abstract

Human herpesvirus 6 (HHV6) encephalitis and Wernicke encephalopathy are treatable yet frequently undiagnosed causes of encephalopathy in pediatric recipients of allogeneic and autologous hematopoietic cell transplantation. Here we review representative cases of both conditions to highlight specific and relevant neurologic features that prompted effective diagnosis and treatment. Two patients with confusion accompanied by seizures, memory changes, or specific visual hallucinations and HHV6 detectable by polymerase chain reaction (PCR) in cerebrospinal fluid had improvement in viral load with ganciclovir or foscarnet treatment. Two patients had confusion, ataxia, or ocular changes and low serum thiamine levels, which resolved with parenteral thiamine. In all cases, definitive diagnosis and treatment were facilitated by a high index of suspicion and search for specific pathognomonic neurologic deficits accompanying the confusional state. It is critical to clinically differentiate these 2 conditions from other common neurologic syndromes occurring after transplant, allowing potentially improved patient outcomes by prompt diagnosis and effective treatment.

Indexed as

AdolescentBrainChildChild, PreschoolDiagnosis, DifferentialEncephalitis, ViralFemaleHematopoietic Stem Cell TransplantationHerpesvirus 6, HumanHumansMagnetic Resonance ImagingMaleRoseolovirus InfectionsWernicke EncephalopathyYoung Adultcentral nervous systemhematopoietic cell transplanthuman herpesvirus 6 encephalitisthiamineWernicke encephalopathy

Identifiers

PMID25564483
PMCPMC4692275
OpenAlexW2142659505

What OpenQuestion holds

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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.