Evidence map›Paper›PMID 29987589›Full record

ArticleJournal of neurology2018

Low specificity of voltage-gated calcium channel antibodies in Lambert-Eaton myasthenic syndrome: a call for caution.

Rodica Di Lorenzo, Karin Mente, Jianbo Li, Luay Shayya, Alexander Rae-Grant, Yuebing Li, Adham Jammoul

Abstract read
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In one paragraph

Article in Journal of neurology, 2018. 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
2.4field-weighted citation impact, top 12% 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, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Autoimmune Neurology: The Need for Comprehensive Care.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Review
  7. Review
  8. Presence of onconeural antibodies in sarcoidosis patients with parasarcoidosis syndrome.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2019
    Article
  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

7 authors at 4 institutions in 1 country.

Rodica Di LorenzoNeurological Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID http://orcid.org/0000-0003-4963-0719
Karin MenteNeurology, Louis Stokes Cleveland Veteran's Affairs Medical Center, Cleveland, OH, USA.
Jianbo LiQuantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
Luay ShayyaArizona Neurology and Sleep Center, Scottsdale, AZ, USA.
Alexander Rae-GrantNeurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Yuebing LiNeurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Adham JammoulDepartment of Specialty Medicine, Neurohospitalist Service, Aultman Hospital, Neurohospitalist Office, 5th Floor, 2600 6th SW, Canton, OH, 44710, USA. Adham.Jammoul@aultman.com.
Cleveland Clinic · USAultman Hospital · USCleveland Clinic Lerner College of Medicine · USLouis Stokes Cleveland VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As testing for neuronal antibodies become more readily available, the spectrum of conditions potentially associated with these autoantibodies has been widening. Voltage-gated calcium channel antibodies (VGCC-Ab) are no exception to this trend. The significance of an elevated VGCC-Ab titer beyond its original clinicopathological correlate, Lambert-Eaton myasthenic syndrome (LEMS) remains undetermined. We sought to determine the diagnostic significance of an elevated serum VGCC-Ab titer in a large single-center cohort of 100 patients. The majority of patients (58%) with elevated VGCC-Ab levels lacked an inflammatory or autoimmune etiology of their neurologic diagnosis. Only six cases (6%) of LEMS and two cases (2%) of SCLC (without LEMS) were identified. No significant differences in antibody titers were seen between the autoimmune and non-autoimmune groups. These findings support the notions that: (a) elevated VGCC-Ab titers without clinical correlation must be interpreted with caution, and (b) the clinical and electrodiagnostic criteria for LEMS should remain the mainstay in the diagnosis of LEMS.

Indexed as

AdultAgedAged, 80 and overAntibody SpecificityAutoantibodiesCalcium ChannelsCohort StudiesFemaleHumansLambert-Eaton Myasthenic SyndromeMaleMiddle AgedYoung AdultAutoantibodiesCalcium ChannelsAutoimmune encephalitisLambert–Eaton myasthenic syndromeNeurological paraneoplastic syndromeVoltage-gated calcium channel antibody

Identifiers

PMID29987589
OpenAlexW2875365165

What OpenQuestion holds

Textmetadata
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.