Evidence map›Paper›PMID 30560455›Full record

SynthesisJournal of neurology2019

Patient characteristics and outcome associations in AMPA receptor encephalitis.

Osvaldo Laurido-Soto, Matthew R Brier, Laura E Simon, Austin McCullough, Robert C Bucelli, Gregory S Day

Open access · greenAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Autoimmune Encephalitis in Acute Care-Pathology, Diagnosis, and Management.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Cortical ribbon sign in AMPAR antibody-associated encephalitis mimicking Creutzfeldt-Jakob disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  10. Article
  11. Review
  12. Recent advances in autoimmune encephalitis.Arquivos de neuro-psiquiatria · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review
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

6 authors at 1 institution in 1 country.

Osvaldo Laurido-SotoDepartment of Neurology, Washington University in St. Louis, Saint Louis, MO, USA.
Matthew R BrierDepartment of Neurology, Washington University in St. Louis, Saint Louis, MO, USA.
Laura E SimonBernard Becker Medical Library, Washington University in St. Louis, Saint Louis, MO, USA.
Austin McCulloughMallinckrodt Institute of Radiology, Washington University in St. Louis, Saint Louis, MO, USA.
Robert C BucelliDepartment of Neurology, Washington University in St. Louis, Saint Louis, MO, USA.
Gregory S DayDepartment of Neurology, Washington University in St. Louis, Saint Louis, MO, USA. gday@wustl.edu.
Washington University in St. Louis · US

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI FAGAN, ANNE · 1985 to 2019
$52.1M
American Academy of Neurology/American Brain Foundation Clinical Research Training FellowshipNIA NIH HHS P01 AG003991NIA NIH HHS P50 AG005681
6 · The paper itself

Abstract

Antibody-mediated encephalitis defines a class of diseases wherein antibodies directed at cell-surface receptors are associated with behavioral and cognitive disturbances. One such recently described encephalitis is due to antibodies directed at alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPAR). This entity is exceptionally rare and its clinical phenotype incompletely described. We present findings from two cases of AMPAR encephalitis that exemplify variability in the disease spectrum, and summarize findings in published cases derived from a systematic literature review. When all patients are considered together, the presence of psychiatric symptoms at presentation portended a poor outcome and was associated with the presence of a tumor. Furthermore, we provide evidence to suggest that the topography of magnetic resonance imaging abnormalities in reported cases mirrors the distribution of AMPARs in the human brain. The potential for neurological improvement following immunomodulatory therapy together with the favorable outcome reported in most cases emphasizes the importance of testing for autoantibodies against neuronal cell-surface proteins, including AMPAR, in patients with clinical and neuroimaging findings suggestive of autoimmune encephalitis. Close attention to the clinical phenotype may inform the presence of malignancy and long-term prognosis.

Indexed as

Autoimmune Diseases of the Nervous SystemEncephalitisAdolescentAdultAgedAged, 80 and overHumansMaleMiddle AgedNeuroimagingReceptors, GlutamateYoung Adultalpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid subtype glutamate receptor, humanReceptors, GlutamateAlpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptorAutoimmune encephalitisLimbic encephalitisParaneoplastic encephalitis

Identifiers

PMID30560455
PMCPMC6367044
OpenAlexW2905407280

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.