Evidence map›Paper›PMID 30317196›Full record

ArticleBMJ case reports2018

Unusual cause of fever, vision loss and super refractory status epilepticus in association with simian virus 40 (SV40).

Ayush Agarwal, Deepti Vibha, Rohan Chawla, Mehar Chand Sharma

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 2 institutions in 1 country.

Ayush AgarwalNeurology, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India.
Deepti VibhaNeurology, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India.ORCID http://orcid.org/0000-0003-3659-7526
Rohan ChawlaOphthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, Delhi, India.
Mehar Chand SharmaPathology, all india institute of medical sciences, New Delhi, Delhi, India.
All India Institute of Medical Sciences · INAll India Institute of Medical Sciences Raipur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of a 23-year-old man with history of fever followed by painless complete vision loss, with subsequent new-onset refractory status epilepticus (NORSE). He initially developed bilateral retinitis. A few days later, he started having focal seizures, and subsequently developed super-refractory status epilepticus, requiring anaesthetic agents. MRI brain revealed multifocal cortical and subcortical hyperintensities in occipital and temporoparietal regions without contrast enhancement. MRI repeated a month later showed new lesions with non-visualisation of some previous lesions. Finally, a brain biopsy was done which revealed presence of lymphocytic infiltrate with SV40 inclusions in oligodendrocyte. We propose the affliction of an atypical virus affecting the retina and brain grey and white matter, presenting with NORSE in our patient. Future similar cases and isolation of the virus may help in establishing the conclusive diagnosis.

Indexed as

AnticonvulsantsBlindnessDiagnosis, DifferentialFeverHumansMagnetic Resonance ImagingMalePolyomavirus InfectionsSeizuresSimian virus 40Status EpilepticusTomography, Optical CoherenceTumor Virus InfectionsYoung AdultAnticonvulsantsepilepsy and seizuresinfection (neurology)neuroopthalmology

Identifiers

PMID30317196
PMCPMC6194379
OpenAlexW2896962245

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.