Evidence map›Paper›PMID 31985135›Full record

ReviewBrain and behavior2020

Different FDG-PET metabolic patterns of anti-AMPAR and anti-NMDAR encephalitis: Case report and literature review.

Yi-Chia Wei, Jing-Ren Tseng, Chia-Lun Wu, Feng-Chieh Su, Wei-Chieh Weng, Chih-Chin Hsu, Kai-Hsiang Chang, Chun-Feng Wu, Ing-Tsung Hsiao, Ching-Po Lin

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Brain and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. [18F]FDG brain PET and clinical symptoms in different autoantibodies of autoimmune encephalitis: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  11. Quantitative brainAnnals of clinical and translational neurology · 2024
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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

10 authors at 3 institutions in 1 country.

Yi-Chia WeiDepartment of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan.ORCID 0000-0001-6085-3134
Jing-Ren TsengCollage of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chia-Lun WuDepartment of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Feng-Chieh SuDepartment of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Wei-Chieh WengDepartment of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chih-Chin HsuInstitute of Neuroscience, National Yang Ming University, Taipei, Taiwan.
Kai-Hsiang ChangDepartment of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chun-Feng WuCollage of Medicine, Chang Gung University, Taoyuan, Taiwan.
Ing-Tsung HsiaoNuclear Medicine and Molecular Imaging Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
Ching-Po LinInstitute of Neuroscience, National Yang Ming University, Taipei, Taiwan.
Chang Gung University · TWNational Yang Ming Chiao Tung University · TWKeelung Chang Gung Memorial Hospital · TW

Funding

Chang Gung Medical Foundation CMRPG2H0221Chang Gung Medical Foundation CMRPG2H0222
6 · The paper itself

Abstract

introduction

methodsThe cerebral glucose metabolism was evaluated by FDG-PET/CT during acute-to-subacute stage of autoimmune encephalitis and after treatment. The stereo and quantitative analysis of cerebral metabolism used standardized z-score and visualized on three-dimensional stereotactic surface projection. To map NMDAR and AMPAR in human brain, we adopted genetic atlases from the Allen Institute and protein atlases from Zilles's receptor densities.

resultsThe three-dimensional stereotactic surface projection displayed frontal-dominant hypometabolism in a 66-year-old female patient with anti-AMPAR encephalitis and occipital-dominant hypometabolism in a 29-year-old female patient with anti-NMDAR encephalitis. Receptor density maps revealed opposite frontal-occipital gradients of AMPAR and NMDAR, which reflect reduced metabolism in the correspondent encephalitis. FDG-PET hypometabolic areas possibly represent receptor hypofunction with spatial correspondence to receptor distributions of the autoimmune encephalitis. The reversibility of hypometabolism was in line with patients' cognitive improvement. The literature review summarized six features of metabolic anomalies of autoimmune encephalitis: (a) temporal hypermetabolism, (b) frontal hypermetabolism and (c) occipital hypometabolism in anti-NMDAR encephalitis, (d) hypometabolism in association cortices, (e) sparing of unimodal primary motor cortex, and (e) reversibility in recovery.

conclusionsThe distinct cerebral hypometabolic patterns of autoimmune encephalitis were representative for receptor hypofunction and topographical distribution of antigenic receptors. The reversibility of hypometabolism marked the clinical recovery of autoimmune encephalitis and made FDG-PET of brain a valuable diagnostic tool.

Indexed as

Positron Emission Tomography Computed TomographyAdultAgedAnti-N-Methyl-D-Aspartate Receptor EncephalitisBrainEncephalitisFemaleFluorodeoxyglucose F18Hashimoto DiseaseHumansReceptors, AMPAReceptors, N-Methyl-D-AspartateFluorodeoxyglucose F18Receptors, AMPAReceptors, N-Methyl-D-Aspartateautoimmune encephalitisFDG-PEThypermetabolismhypometabolismreceptor density map

Identifiers

PMID31985135
PMCPMC7066351
OpenAlexW3003384573

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.