Evidence map›Paper›PMID 29213481›Full record

ArticleDementia & neuropsychologia

The importance of recognizing faciobrachial dystonic seizures in rapidly progressive dementias.

Mateus Mistieri Simabukuro, Paulo Ribeiro Nóbrega, Milena Pitombeira, Wagner Cid Palmeira Cavalcante, Ronnyson Susano Grativvol, Lécio Figueira Pinto, Luiz Henrique Martins Castro, Ricardo Nitrini

Open access · diamondAbstract read
In one paragraph

Article in Dementia & neuropsychologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact, top 81% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Faciobrachial Myoclonus as the Presenting Manifestation of Diabetic Keto-Acidosis.Tremor and other hyperkinetic movements (New York, N.Y.) · 2021
    Article
  5. Article
  6. Article
  7. The Clinical Value ofFrontiers in neurology · 2020
    Article
  8. Review
  9. 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

8 authors at 2 institutions in 1 country.

Mateus Mistieri SimabukuroNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Paulo Ribeiro NóbregaNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Milena PitombeiraNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Wagner Cid Palmeira CavalcanteNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Ronnyson Susano GrativvolNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Lécio Figueira PintoNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Luiz Henrique Martins CastroNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Ricardo NitriniNeurology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brazil.
Universidade de São Paulo · BRHospital Geral de Fortaleza · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCreutzfeldt-Jakob Disease (CJD) is the prototypical cause of rapidly progressive dementia (RPD). Nonetheless, efforts to exclude reversible causes of RPD that mimic prion disease are imperative. The recent expanding characterization of neurological syndromes associated with antibodies directed against neuronal cell surface or sympathic antigens, namely autoimmune encephalitis is shifting paradigms in neurology. Such antigens are well known proteins and receptors involved in synaptic transmission. Their dysfunction results in neuropsychiatric symptoms, psychosis, seizures, movement disorders and RPD. Faciobrachial dystonic seizure (FBDS) is a novel characterized type of seizure, specific for anti-LGI1 encephalitis.

objectiveIn order to improve clinical recognition we report the cases of two Brazilian patients who presented with characteristic FDBS (illustrated by videos) and anti-LGI1 encephalitis.

methodsWe have included all patients with FBDS and confirmed anti-LGI1 encephalitis and video records of FDBS in two tertiary Brazilian centers: Department of Neurology of Hospital das Clínicas, Sao Paulo University, Sao Paulo, Brazil and Hospital Geral de Fortaleza, Fortaleza, Brazil between January 1, 2011 and December 31, 2015.

resultsBoth patients presented with clinical features of limbic encephalitis associated with FBDS, hyponatremia and normal CSF. None of them presented with tumor and both showed a good response after immunotherapy.

conclusionFBDSs may be confounded with myoclonus and occurs simultaneously with rapid cognitive decline. Unawareness of FDBS may induce to misdiagnosing a treatable cause of RPD as CJD.

Indexed as

anti-LGI1 encephalitisautoimmune encephalitisCreutzfeldt-Jakob diseasefaciobrachial dystonic seizuresrapidly progressive dementias

Identifiers

PMID29213481
PMCPMC5619277
OpenAlexW2564738188

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.