Evidence map›Paper›PMID 29724224›Full record

ReviewJournal of neuroinflammation2018

MOG encephalomyelitis: international recommendations on diagnosis and antibody testing.

S Jarius, F Paul, O Aktas, N Asgari, R C Dale, J de Seze, D Franciotta, K Fujihara, A Jacob, H J Kim and 9 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03819413 (Clinical Patterns of Neuromyelitis Optica Spectrum Disorders in Assiut University Hospital), which is not on this map. Cited by 328 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
328citing papers in PubMed, 8 pooled it
–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.

NCT03819413 completednot on this mapstarted 2019, after this paper: background citation

Clinical Patterns of Neuromyelitis Optica Spectrum Disorders in Assiut University Hospital

TypeobservationalSponsorAssiut UniversityRan2019 to 2020Enrolled90ConditionsNeuromyelitis Optica Spectrum DisorderArmsserum aquaporin 4 antibody (AQP-4-Ab), serum MOG antibody (anti-MOG), MRI brain, spine and orbit
3 · Its place in the literature

Who cites it

328 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Movement Disorders in MOGAD: A Systematic Review.Medicina (Kaunas, Lithuania) · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
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  7. Clinical Characteristics of Anti-Frontiers in immunology · 2022
    Pooled it
  8. Pooled it
  9. Article
  10. Article
  11. Article
  12. Myelin oligodendrocyte glycoprotein antibody-associated disease after transforaminal lumbar interbody fusion surgery: a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

268 more citing papers are in PubMed but not listed here.

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

19 authors.

S JariusMolecular Neuroimmunology Group, Department of Neurology, University Hospital Heidelberg, Im Neuenheimer Feld 350, 69120, Heidelberg, Germany. sven.jarius@med.uni-heidelberg.de.
F PaulDepartment of Neurology and Clinical and Experimental Multiple Sclerosis Research Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.
O AktasDepartment of Neurology, University of Düsseldorf, Düsseldorf, Germany.
N AsgariDepartment of Neurology, University of Southern Denmark, Odense, Denmark.
R C DaleChildren's Hospital at Westmead, University of Sydney, Sydney, Australia.
J de SezeDepartment of Neurology, Hôpital de Hautepierre, Strasbourg Cedex, France.
D FranciottaIRCCS, National Neurological Institute C. Mondino, Pavia, Italy.
K FujiharaDepartment of Multiple Sclerosis Therapeutics, Tohoku University Graduate School of Medicine, Sendai, Japan.
A JacobThe Walton Centre, Walton Centre NHS Foundation Trust, Liverpool, UK.
H J KimDepartment of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, South Korea.
I KleiterDepartment of Neurology, Ruhr University Bochum, Bochum, Germany.
T KümpfelInstitute of Clinical Neuroimmunology, Ludwig Maximilian University, Munich, Germany.
M LevyDepartment of Neurology, Johns Hopkins Hospital, Cleveland, USA.
J PalaceNuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK.
K RuprechtDepartment of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
A SaizService of Neurology, Hospital Clinic, and Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
C TrebstDepartment of Neurology, Hannover Medical School, Hanover, Germany.
B G WeinshenkerDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
B WildemannMolecular Neuroimmunology Group, Department of Neurology, University Hospital Heidelberg, Im Neuenheimer Feld 350, 69120, Heidelberg, Germany. brigitte.wildemann@med.uni-heidelberg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past few years, new-generation cell-based assays have demonstrated a robust association of autoantibodies to full-length human myelin oligodendrocyte glycoprotein (MOG-IgG) with (mostly recurrent) optic neuritis, myelitis and brainstem encephalitis, as well as with acute disseminated encephalomyelitis (ADEM)-like presentations. Most experts now consider MOG-IgG-associated encephalomyelitis (MOG-EM) a disease entity in its own right, immunopathogenetically distinct from both classic multiple sclerosis (MS) and aquaporin-4 (AQP4)-IgG-positive neuromyelitis optica spectrum disorders (NMOSD). Owing to a substantial overlap in clinicoradiological presentation, MOG-EM was often unwittingly misdiagnosed as MS in the past. Accordingly, increasing numbers of patients with suspected or established MS are currently being tested for MOG-IgG. However, screening of large unselected cohorts for rare biomarkers can significantly reduce the positive predictive value of a test. To lessen the hazard of overdiagnosing MOG-EM, which may lead to inappropriate treatment, more selective criteria for MOG-IgG testing are urgently needed. In this paper, we propose indications for MOG-IgG testing based on expert consensus. In addition, we give a list of conditions atypical for MOG-EM ("red flags") that should prompt physicians to challenge a positive MOG-IgG test result. Finally, we provide recommendations regarding assay methodology, specimen sampling and data interpretation.

Indexed as

InternationalityAnimalsAutoantibodiesBiomarkersEncephalomyelitisHumansImmunoenzyme TechniquesImmunoglobulin GMyelin-Oligodendrocyte GlycoproteinAutoantibodiesBiomarkersImmunoglobulin GMOG protein, humanMyelin-Oligodendrocyte GlycoproteinAntibody testingConsensus recommendationsDiagnosisMultiple sclerosis (MS)Myelin oligodendrocyte glycoprotein (MOG) antibodiesNeuromyelitis optica spectrum disorders (NMOSD)Optic neuritis (ON), Myelitis

Identifiers

PMID29724224
PMCPMC5932838

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Registered trials

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.