Evidence map›Paper›PMID 31558152›Full record

ArticleBMC neurology2019

The diffuse involvement of anti-N-methyl-D-aspartate receptor encephalitis in brain: a case report.

Yun Jiang, Jianpeng Ma, Tao Gong, Hongjun Hao, Haibo Chen

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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 2 institutions in 1 country.

Yun JiangDepartment of Neurology, Beijing Hospital, National Center of Gerontology, Beijing, China. jiangyun@bjhmoh.cn.ORCID http://orcid.org/0000-0003-4317-1515
Jianpeng MaDepartment of Neurology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Tao GongDepartment of Neurology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Hongjun HaoDepartment of Neurology, Peking University First Hospital, Beijing, China.
Haibo ChenDepartment of Neurology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Beijing Hospital · CNPeking University · CN

Funding

National Natural Science Foundation of China BJ-2011-058
6 · The paper itself

Abstract

backgroundAnti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a severe and most common autoimmune encephalitis in patients under 40 years old. Anti-NMDAR encephalitis has various clinical and neuroimaging findings. Here we report a special case of an anti-NMDAR encephalitis who had diffuse lesions in bilateral hemispheres with mild mass effects in left basal ganglia area. CASE PRESENTATIONS: A 28-year-old female anti-NMDAR encephalitis patient mainly presented with headache and fever. Brain magnetic resonance image (MRI) showed slightly contrasted diffuse lesions, involving the left temporal and frontal lobes, left basal ganglia area and splenium of corpus callosum, as well as the right frontal lobe, with mild edema surrounded in the left basal ganglia area. Cerebrospinal fluid (CSF) revealed a moderate pleocytosis with normal protein and glucose levels. Anti-NMDAR antibodies were identified in CSF. Transvaginal ovarian ultrasound did not reveal an ovarian teratoma. The patient was treated with immunoglobulin and steroid, and had a good recovery.

conclusionsAnti-NMDAR encephalitis has no special clinical manifestations and brain MRI is highly variable, which could be unremarkable or abnormal involving white and grey matters. The extensive lesions in frontal and temporal lobes, and basal ganglia area, with mild mass effects, have not been described previously. Recognition of various changes in brain MRI will enable the early detection of anti-NMDAR antibody and then effective treatments.

Indexed as

AdultAnti-N-Methyl-D-Aspartate Receptor EncephalitisBasal GangliaFemaleFrontal LobeHumansTemporal LobeAnti-N-methyl-D-aspartate receptor (NMDAR) encephalitisBrainClinicMagnetic resonance image

Identifiers

PMID31558152
PMCPMC6764129
OpenAlexW2980571005

What OpenQuestion holds

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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.