Evidence map›Paper›PMID 29101253›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2018

Superficial white matter damage in anti-NMDA receptor encephalitis.

Owen Robert Phillips, Shantanu H Joshi, Katherine L Narr, David W Shattuck, Manpreet Singh, Margherita Di Paola, Christoph J Ploner, Harald Prüss, Friedemann Paul, Carsten Finke

Abstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

42 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Autoimmune neuropsychiatric disorders manifesting with psychosis.The Journal of clinical investigation · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. The T1-weighted/T2-weighted ratio as a biomarker of anti-NMDA receptor encephalitis.Journal of neurology, neurosurgery, and psychiatry · 2024
    Article
  11. Article
  12. Imaging of the superficial white matter in health and disease.Imaging neuroscience (Cambridge, Mass.) · 2024
    Article
  13. Outcome and Sequelae of Autoimmune Encephalitis.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
  14. Article
  15. Neuropsychological Testing in Autoimmune Encephalitis: A Scoping Review.Neurology(R) neuroimmunology & neuroinflammation · 2024
    Article
  16. The alterations of spontaneous neural activities and white matter microstructures in anti-N-methyl-D-aspartate receptor encephalitis: a resting-state fMRI and DTI study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  17. Review
  18. Review
  19. Long-term effects of anti-Frontiers in neurology · 2023
    Article
  20. Myelinating Co-Culture as a Model to Study Anti-NMDAR Neurotoxicity.International journal of molecular sciences · 2022
    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 at 7 institutions in 5 countries.

Owen Robert PhillipsDepartment of Psychiatry, Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-5391-707X
Shantanu H JoshiDepartment of Neurology, Ahmanson Lovelace Brain Mapping Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Katherine L NarrDepartment of Neurology, Ahmanson Lovelace Brain Mapping Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
David W ShattuckDepartment of Neurology, Ahmanson Lovelace Brain Mapping Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Manpreet SinghDepartment of Psychiatry, Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, California, USA.
Margherita Di PaolaDepartment of Mental Health, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Christoph J PlonerDepartment of Neurology, Charité University Medicine Berlin, Berlin, Germany.
Harald PrüssDepartment of Neurology, Charité University Medicine Berlin, Berlin, Germany.
Friedemann PaulDepartment of Neurology, Charité University Medicine Berlin, Berlin, Germany.
Carsten FinkeDepartment of Neurology, Charité University Medicine Berlin, Berlin, Germany.ORCID 0000-0002-7665-1171
Brain Mapping Foundation · USAmerican Academy of Child and Adolescent Psychiatry · USCharité - Universitätsmedizin Berlin · DEGerman Center for Neurodegenerative Diseases · DEHumboldt-Universität zu Berlin · DEKing Faisal Specialist Hospital & Research Centre · SAMax Delbrück Center · DE

Funding

Interactive software for semiautomated analysis of structural brain imagesR01NS074980 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LEAHY, RICHARD M, SHATTUCK, DAVID W · 2011 to 2021
$5.0M
NINDS NIH HHS R01 NS074980
6 · The paper itself

Abstract

backgroundClinical brain MRI is normal in the majority of patients with anti-

methodsForty-six patients with anti-NMDAR encephalitis were included. Ten out of these were considered neurologically recovered (modified Rankin scale of zero), while 36 patients were non-recovered. In addition, 30 healthy controls were studied. MRI data were collected from all subjects and superficial white matter mean diffusivity derived from diffusion tensor imaging was compared between groups in whole brain, lobar and vertex-based analyses. Patients underwent comprehensive cognitive testing, and correlation analyses were performed between cognitive performance and superficial white matter integrity.

resultsNon-recovered patients showed widespread superficial white matter damage in comparison to recovered patients and healthy controls. Vertex-based analyses revealed that damage predominated in frontal and temporal lobes. In contrast, the superficial white matter was intact in recovered patients. Importantly, persistent cognitive impairments in working memory, verbal memory, visuospatial memory and attention significantly correlated with damage of the superficial white matter in patients.

conclusionsAnti-NMDAR encephalitis is associated with extensive superficial white matter damage in patients with incomplete recovery. The strong association with impairment in several cognitive domains highlights the clinical relevance of white matter damage in this disorder and warrants investigations of the underlying pathophysiological mechanisms.

Indexed as

AdultAnti-N-Methyl-D-Aspartate Receptor EncephalitisCase-Control StudiesCognitive DysfunctionDiffusion Tensor ImagingFemaleFrontal LobeHumansMaleNeuroimagingRemission InductionTemporal LobeWhite MatterYoung Adult

Identifiers

PMID29101253
PMCPMC5899027
OpenAlexW2766658363

What OpenQuestion holds

Textmetadata
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.