Evidence map›Paper›PMID 26771547›Full record

Trial reportPloS one2016

Effect of Immunotherapy on Seizure Outcome in Patients with Autoimmune Encephalitis: A Prospective Observational Registry Study.

Jung-Ick Byun, Soon-Tae Lee, Keun-Hwa Jung, Jun-Sang Sunwoo, Jangsup Moon, Jung-Ah Lim, Doo Young Lee, Yong-Won Shin, Tae-Joon Kim, Keon-Joo Lee and 19 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Observational
  8. The clinical and predictive value ofCNS neuroscience & therapeutics · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Immunity, Ion Channels and Epilepsy.International journal of molecular sciences · 2022
    Review
  17. Abnormal Brain MRI Findings in Anti-Frontiers in neurology · 2022
    Article
  18. Article
  19. Article
  20. 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

29 authors at 7 institutions in 1 country.

Jung-Ick ByunDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Soon-Tae LeeDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Keun-Hwa JungDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Jun-Sang SunwooDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Jangsup MoonDepartment of Neurology, Ewha Womans University School of Medicine and Ewha Medical Research Institute, Seoul, South Korea.
Jung-Ah LimDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Doo Young LeeDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Yong-Won ShinDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Tae-Joon KimDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Keon-Joo LeeDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Woo-Jin LeeDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Han-Sang LeeDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Jinsun JunDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Dong-Yub KimDepartments of Neurology, Samsung Medical Center, Seoul, South Korea.
Man-Young KimDepartments of Neurology, Chosun University Hospital, Gwangju, South Korea.
Hyunjin KimDepartments of Neurology, Asan medical center, Seoul, South Korea.
Hyeon Jin KimDepartments of Neurology, Ewha Woman's University Hospital, Seoul, South Korea.
Hong Il SuhDepartments of Neurology, Ajou University Medical Center, Suwon, South Korea.
Yoojin LeeDepartments of Neurology, Asan medical center, Seoul, South Korea.
Dong Wook KimDepartments of Neurology, Konkuk University Medical Center, Seoul, South Korea.
Jin Ho JeongDepartments of Neurology, Inje University Busan Paik Hospital, Busan, South Korea.
Woo Chan ChoiDepartments of Neurology, Kyungpook National University Hospital, Daegu, South Korea.
Dae Woong BaeDepartments of Neurology, St. Mary's Hospital, Seoul, South Korea.
Jung-Won ShinDepartments of Neurology, Cha university, CHA Bundang Medical Center, Seongnam, South Korea.
Daejong JeonDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Kyung-Il ParkDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Ki-Young JungDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Kon ChuDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Sang Kun LeeDepartments of Neurology, Seoul National University Hospital, Seoul, South Korea.
Seoul National University · KREwha Womans University · KRAsan Medical Center · KRKyungpook National University Hospital · KRSamsung Medical Center · KRCHA University Bundang Medical Center · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the seizure characteristics and outcome after immunotherapy in adult patients with autoimmune encephalitis (AE) and new-onset seizure.

methodsAdult (age ≥18 years) patients with AE and new-onset seizure who underwent immunotherapy and were followed-up for at least 6 months were included. Seizure frequency was evaluated at 2-4 weeks and 6 months after the onset of the initial immunotherapy and was categorized as "seizure remission", "> 50% seizure reduction", or "no change" based on the degree of its decrease.

resultsForty-one AE patients who presented with new-onset seizure were analysed. At 2-4 weeks after the initial immunotherapy, 51.2% of the patients were seizure free, and 24.4% had significant seizure reduction. At 6 months, seizure remission was observed in 73.2% of the patients, although four patients died during hospitalization. Rituximab was used as a second-line immunotherapy in 12 patients who continued to have seizures despite the initial immunotherapy, and additional seizure remission was achieved in 66.6% of them. In particular, those who exhibited partial response to the initial immunotherapy had a better seizure outcome after rituximab, with low adverse events.

conclusionAE frequently presented as seizure, but only 18.9% of the living patients suffered from seizure at 6 months after immunotherapy. Aggressive immunotherapy can improve seizure outcome in patients with AE.

Indexed as

AdolescentAdultAgedEncephalitisFemaleHashimoto DiseaseHumansImmunotherapyMaleMiddle AgedRituximabSeizuresSteroidsTreatment OutcomeYoung AdultRituximabSteroids

Identifiers

PMID26771547
PMCPMC4714908
OpenAlexW2233227953

What OpenQuestion holds

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LicenceCC BY
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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.