Evidence map›Paper›PMID 31732848›Full record

ReviewNeurocritical care2020

Treatment of Movement Disorder Emergencies in Autoimmune Encephalitis in the Neurosciences ICU.

Farwa Ali, Eelco F Wijdicks

Abstract readReview
PubMed Publisher
In one paragraph

Review in Neurocritical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

Farwa AliDepartment of Neurology, Mayo Clinic Rochester Minnesota, 200 1st ST SW, Rochester, MN, 55905, USA. ali.farwa@mayo.edu.
Eelco F WijdicksDepartment of Neurology, Mayo Clinic Rochester Minnesota, 200 1st ST SW, Rochester, MN, 55905, USA.
Mayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune response against neuronal and glial cell surface and cytosolic antigens is an important cause of encephalitis. It may be triggered by activation of the immune system in response to an infection (para-infectious), cancer (paraneoplastic), or due to a patient's tendency toward autoimmunity. Antibodies directed toward neuronal cell surface antigens are directly pathogenic, whereas antibodies with intracellular targets may become pathogenic if the antigen is transiently exposed to the cell surface or via activation of cytotoxic T cells. Immune-mediated encephalitis is well recognized and may require intensive care due to status epilepticus, need for invasive ventilation, or dysautonomia. Patients with immune-mediated encephalitis may become critically ill and display clinically complex and challenging to treat movement disorders in over 80% of the cases (Zhang et al. in Neurocrit Care 29(2):264-272, 2018). Treatment options include immunotherapy and symptomatic agents affecting dopamine or acetylcholine neurotransmission. There has been no prior published guidance for management of these movement disorders for the intensivist. Herein, we discuss the immune-mediated encephalitis most likely to cause critical illness, clinical features and mechanisms of movement disorders and propose a management algorithm.

Indexed as

Adrenal Cortex HormonesAdrenergic alpha-AntagonistsAdrenergic beta-AntagonistsAnalgesics, OpioidAnticonvulsantsAntiparkinson AgentsAutoantibodiesAutoimmune Diseases of the Nervous SystemBenzodiazepinesCatatoniaCholinergic AntagonistsChoreaCritical IllnessDopamine AgentsDopamine AntagonistsDyskinesiasAdrenal Cortex HormonesAdrenergic alpha-AntagonistsAdrenergic beta-AntagonistsAnalgesics, OpioidAnticonvulsantsAntiparkinson AgentsAutoantibodiesBenzodiazepinesCholinergic AntagonistsDopamine AgentsDopamine AntagonistsHypnotics and SedativesImmunoglobulins, IntravenousImmunologic FactorsImmunosuppressive AgentsNeuromuscular Blocking AgentsAutoimmuneChoreaDyskinesiaEncephalitisMovement disorder

Identifiers

PMID31732848
OpenAlexW2984073334

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.