Evidence map›Paper›PMID 28028790›Full record

ArticleNeurocritical care2017

Autoimmune Encephalitis at the Neurological Intensive Care Unit: Etiologies, Reasons for Admission and Survival.

Gayane Harutyunyan, Larissa Hauer, Martin W Dünser, Anush Karamyan, Tobias Moser, Slaven Pikija, Markus Leitinger, Helmut F Novak, Eugen Trinka, Johann Sellner

Abstract read
In one paragraph

Article in Neurocritical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

  1. Autoimmune Encephalitis in Acute Care-Pathology, Diagnosis, and Management.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Autoimmune Encephalitis Due to COVID-19 in a Young Patient.Iranian journal of child neurology · 2023
    Article
  12. Review
  13. Article
  14. Ventilator-associated pneumonia in PICU - how are we doing?The Southern African journal of critical care : the official journal of the Critical Care Society · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Clinical efficacy of plasma exchange in patients with autoimmune encephalitis.Annals of clinical and translational neurology · 2021
    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

10 authors.

Gayane HarutyunyanDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Larissa HauerDepartment of Psychiatry, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Martin W DünserDepartment of Critical Care, University College of London Hospital, London, UK.
Anush KaramyanDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Tobias MoserDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Slaven PikijaDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Markus LeitingerDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Helmut F NovakDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Eugen TrinkaDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Johann SellnerDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany. j.sellner@salk.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly recognition and treatment of autoimmune encephalitis (AE) has become an essential issue in clinical practice. However, little is known about patients with deteriorating conditions and the need for intensive care treatment. Here, we aimed to characterize underlying aetiologies, clinical symptoms, reasons for intensive care admission, and mortality of critically ill patients with AE.

methodsWe conducted a retrospective chart review of all patients with "definite" or "probable" diagnoses of AE treated at our neurological intensive care unit between 2002 and 2015. We collected and analyzed clinical, paraclinical, laboratory findings and assessed the mortality at last follow-up based on patient records.

resultsTwenty-seven patients [median age 55 years (range 25-87), male = 16] were included. Thirteen (48%) had "definite" AE. The most common reasons for admission were status epilepticus (7/27, 26%) and delirium (4/27, 15%). One-year survival was 82%, all five deceased were male, and 3 (60%) of them had "probable" disease. The non-survivors (median follow-up 1 year) were more likely to have underlying cancer and higher need for respiratory support compared to the survivors (p < 0.041, and p = 0.004, respectively).

conclusionsClinical presentations and outcomes in critically ill patients with AE are diverse, and the most common leading cause for intensive care unit admission was status epilepticus. The association of comorbid malignancy and the need for mechanical ventilation with mortality deserves further attention.

Indexed as

Autoimmune Diseases of the Nervous SystemCritical IllnessDeliriumEncephalitisStatus EpilepticusAdultAgedAged, 80 and overFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesAutoimmune encephalitisImmune-mediatedIntensive care unitMortalityStatus epilepticus

Identifiers

PMID28028790
PMCPMC5524849

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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.