Evidence map›Paper›PMID 26376717›Full record

ArticleJournal of neuroinflammation2015

Acute hemorrhagic leukoencephalitis (Weston-Hurst syndrome) in a patient with relapse-remitting multiple sclerosis.

Özlem Yildiz, Refik Pul, Peter Raab, Christian Hartmann, Thomas Skripuletz, Martin Stangel

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of neuroinflammation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. [Weston-Hurst syndrome. A case report and literature review].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Review
  4. Review
  5. Review
  6. Article
  7. Acute Disseminated Encephalomyelitis.HCA healthcare journal of medicine · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. 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

6 authors at 1 institution in 1 country.

Özlem YildizDepartment of Neurology, Hannover Medical School, Hannover, Germany. yildiz.oezlem@mh-hannover.de.
Refik PulDepartment of Neurology, Hannover Medical School, Hannover, Germany. pul.refik@mh-hannover.de.
Peter RaabDepartment of Neuroradiology, Hannover Medical School, Hannover, Germany. raab.peter@mh-hannover.de.
Christian HartmannDepartment of Neuropathology, Hannover Medical School, Hannover, Germany. hartmann.christian@mh-hannover.de.
Thomas SkripuletzDepartment of Neurology, Hannover Medical School, Hannover, Germany. skripuletz.thomas@mh-hannover.de.
Martin StangelDepartment of Neurology, Hannover Medical School, Hannover, Germany. stangel.martin@mh-hannover.de.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute hemorrhagic leukoencephalitis is a fulminant demyelinating disease and commonly considered as a rare and severe variant of acute disseminated encephalomyelitis. Here, we report the clinical, magnetic resonance imaging, and brain biopsy findings of a 35-year-old female with relapsing-remitting multiple sclerosis, who developed acute hemorrhagic leukoencephalitis. Magnetic resonance imaging revealed symmetrical hemorrhagic lesions in the basal ganglia including the thalami. Disease progression was consistent with acute hemorrhagic leukoencephalitis with rapid deterioration of consciousness and seizures. Besides hemorrhage, infiltration of neutrophils was detected in brain biopsy.Acute hemorrhagic leukoencephalitis, also known as Weston-Hurst syndrome, is an excessive immunological response of unknown etiology. So far, an association with multiple sclerosis has not been reported. The present case raises the question, whether acute hemorrhagic leukoencephalitis is a specific hyperacute form of acute disseminated encephalomyelitis, a severe and unspecific form of an immune response in the central nervous system, or belongs to the spectrum of tumefactive multiple sclerosis.

Indexed as

FemaleHumansLeukoencephalitis, Acute HemorrhagicMagnetic Resonance ImagingMultiple Sclerosis, Relapsing-RemittingYoung Adult

Identifiers

PMID26376717
PMCPMC4574135
OpenAlexW1949111669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.