Evidence map›Paper›PMID 30714986›Full record

ReviewThe Journal of clinical investigation2019

Autoimmune seizures and epilepsy.

Christian Geis, Jesus Planagumà, Mar Carreño, Francesc Graus, Josep Dalmau

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 1 pooled it
18.0field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 1 synthesis or guideline pooled it, 222 citations in OpenAlex.

  1. Pooled it
  2. Immune dysregulation and epileptogenesis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
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  8. Review
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  11. Article
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  16. Article
  17. Autoimmune neuropsychiatric disorders manifesting with psychosis.The Journal of clinical investigation · 2025
    Review
  18. Autoimmune encephalitis.Nature reviews. Disease primers · 2025
    Review
  19. Autoimmune encephalitis-associated epilepsy.Nature reviews. Neurology · 2025
    Review
  20. GABAMedComm · 2025
    Review

44 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

5 authors at 3 institutions in 3 countries.

Christian GeisDepartment of Neurology, Jena University Hospital, Jena, Germany.
Jesus PlanagumàInstitut D'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and.
Mar CarreñoHospital Clinic, University of Barcelona, Barcelona, Spain.
Francesc GrausInstitut D'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and.
Josep DalmauInstitut D'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) and.
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ESJena University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid expansion in the number of encephalitis disorders associated with autoantibodies against neuronal proteins has led to an incremental increase in use of the term "autoimmune epilepsy," yet has occurred with limited attention to the physiopathology of each disease and genuine propensity to develop epilepsy. Indeed, most autoimmune encephalitides present with seizures, but the probability of evolving to epilepsy is relatively small. The risk of epilepsy is higher for disorders in which the antigens are intracellular (often T cell-mediated) compared with disorders in which the antigens are on the cell surface (antibody-mediated). Most autoantibodies against neuronal surface antigens show robust effects on the target proteins, resulting in hyperexcitability and impairment of synaptic function and plasticity. Here, we trace the evolution of the concept of autoimmune epilepsy and examine common inflammatory pathways that might lead to epilepsy. Then, we focus on several antibody-mediated encephalitis disorders that associate with seizures and review the synaptic alterations caused by patients' antibodies, with emphasis on those that have been modeled in animals (e.g., antibodies against NMDA, AMPA receptors, LGI1 protein) or in cultured neurons (e.g., antibodies against the GABAb receptor).

Indexed as

Immunity, CellularAnimalsAutoantibodiesAutoantigensAutoimmune Diseases of the Nervous SystemDisease Models, AnimalEpilepsyHumansReceptors, Antigen, T-CellSynapsesSynaptic TransmissionT-LymphocytesAutoantibodiesAutoantigensReceptors, Antigen, T-Cell

Identifiers

PMID30714986
PMCPMC6391086
OpenAlexW2914944710

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.