Evidence map›Paper›PMID 30873425›Full record

ArticleChild neurology open2019

CLIPPERS Spectrum Disorder: A Rare Pediatric Neuroinflammatory Condition.

Tarishi Nemani, Anaita Udwadia-Hegde, Purva Keni Karnavat, Ritu Kashikar, Shridhar Epari

Abstract readCase Reports
In one paragraph

Article in Child neurology open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Unusual CLIPPERS presentation with a predominant spinal cord involvement: case report and review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  3. Atypical Pediatric Demyelinating Diseases of the Central Nervous System.Current neurology and neuroscience reports · 2019
    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

5 authors.

Tarishi NemaniDepartment of Pediatric Neurology, Jaslok Hospital and Research Centre, Mumbai, India.
Anaita Udwadia-HegdeDepartment of Pediatric Neurology, Jaslok Hospital and Research Centre, Mumbai, India.
Purva Keni KarnavatDepartment of Pediatric Neurology, Jaslok Hospital and Research Centre, Mumbai, India.
Ritu KashikarDepartment of Radiology, Jaslok Hospital and Research Centre, Mumbai, India.
Shridhar EpariDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CLIPPERS (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids) is a recently described, rare neuroinflammatory disorder diagnosed by clinical symptoms involving the brain stem with a distinct pattern on neuroimaging and a perivascular T-lymphocyte infiltrate on brain biopsy. It is a condition usually described in adults in the fourth to fifth decade. We report a case of 13-year-old Indian boy who presented with recurrent episodes of ataxia and diplopia with onset at 7 years of age. He was investigated extensively to rule out infective, neoplastic, autoimmune, and demyelinating conditions over a span of 6 years. The diagnosis of CLIPPERS was entertained on the basis of clinico-radio-pathological correlation. Treatment with steroids and steroid-sparing agents, particularly methotrexate, seems to provide a promising outcome. With very few cases in literature so far, reporting of a larger case series with pediatric onset may expand it to CLIPPERS spectrum disorder.

Indexed as

AtaxiaMethotrexateNeuro-inflammatoryPediatric CLIPPERS

Identifiers

PMID30873425
PMCPMC6407169

What OpenQuestion holds

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Registered trials

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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.