Evidence map›Paper›PMID 30642847›Full record

ArticleBMJ case reports2019

Rare case of Hashimoto's encephalitis mimicking grief reaction.

Angeliki Giannopoulou, Sajjad Ahmad, Chandranath Sarkar, Atul Kalhan

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 99% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Angeliki GiannopoulouDepartment of Diabetes and Endocrinology, Royal Glamorgan Hospital, Llantrisant, UK.
Sajjad AhmadDepartment of Diabetes and Endocrinology, Cardiff University, Cardiff, UK.
Chandranath SarkarGeneral Internal Medicine, Royal Glamorgan Hospital, Llantrisant, UK.
Atul KalhanDepartment of Diabetes and Endocrinology, Royal Glamorgan Hospital, Llantrisant, UK.
Royal Glamorgan Hospital · GBYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 46-year-old woman was admitted with tonic-clonic seizures. She was noticed to be withdrawn and low in mood for few months. She had reduced level of consciousness with hyper-reflexia and myoclonus. Metabolic, vasculitic, autoimmune, paraneoplastic and septic screen were normal. Lumbar puncture showed raised protein in the cerebrospinal fluid but the cytology, bacterial and viral screens were negative. A CT of the head revealed global brain swelling consistent with encephalitis which was empirically treated with antibiotics and antiviral therapy. Despite this she continued to have altered sensorium. She had moderately raised titres of antithyroid peroxidise antibodies suggestive of an underlying diagnosis of Hashimoto's encephalitis. She displayed a significant improvement in her cognitive functions with high-dose steroids which was further in keeping with this rare diagnosis.

Indexed as

Diagnosis, DifferentialElectroencephalographyEncephalitisFemaleGriefHashimoto DiseaseHumansMagnetic Resonance ImagingMiddle AgedMyoclonusRare DiseasesSeizuresSteroidsTomography, X-Ray ComputedTreatment OutcomeSteroidsendocrine systemepilepsy and seizuresimmunologythyroid disease

Identifiers

PMID30642847
PMCPMC6340547
OpenAlexW2910593813

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.