Evidence map›Paper›PMID 28502942›Full record

ArticleInternal medicine (Tokyo, Japan)2017

Brain Biopsy Is More Reliable than the DNA test for JC Virus in Cerebrospinal Fluid for the Diagnosis of Progressive Multifocal Leukoencephalopathy.

Junji Ikeda, Akira Matsushima, Wataru Ishii, Tetuya Goto, Kenta Takahashi, Kazuo Nakamichi, Masayuki Saijo, Yoshiki Sekijima, Shu-Ichi Ikeda

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

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  12. An unusual case of PML in HIV patient presenting with diplopia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
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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.

Junji IkedaDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Japan.
Akira MatsushimaDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Japan.
Wataru IshiiDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Japan.
Tetuya GotoDepartment of Neurosurgery, Shinshu University School of Medicine, Japan.
Kenta TakahashiDepartment of Pathology, National Institute of Infectious Diseases, Japan.
Kazuo NakamichiDivision of Virology 1, National Institute of Infectious Diseases, Japan.
Masayuki SaijoDivision of Virology 1, National Institute of Infectious Diseases, Japan.
Yoshiki SekijimaDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Japan.
Shu-Ichi IkedaDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Japan.
Shinshu University · JPNational Institute of Infectious Diseases · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current standard diagnostic approach for progressive multifocal leukoencephalopathy (PML) is to perform a DNA test to identify the presence of the JC virus in cerebrospinal fluid (CSF). A 32-year-old woman with a 5-year history of systemic lupus erythematosus developed right hemiplegia and motor aphasia. MRI revealed a large white matter lesion in the left frontal lobe. JC virus DNA was undetectable in the CSF, but a brain biopsy showed typical histopathology and a high DNA load of the JC virus. The patient was treated with mefloquine and mirtazapine, and is currently alive at 24 months after onset. An early brain biopsy may therefore be important for making a timely diagnosis of PML.

Indexed as

BiopsyAdrenergic alpha-AntagonistsAdultAntimalarialsBrainDNA, ViralFemaleHumansJC VirusLeukoencephalopathy, Progressive MultifocalMagnetic Resonance ImagingMefloquineMianserinMirtazapineReproducibility of ResultsTreatment OutcomeAdrenergic alpha-AntagonistsAntimalarialsDNA, ViralMefloquineMianserinMirtazapinebrain biopsydemyelinationDNA testJC virusprogressive multifocal leukoencephalopathyslow virus infection

Identifiers

PMID28502942
PMCPMC5491822
OpenAlexW2613182897

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.