Evidence map›Paper›PMID 32493856›Full record

ArticleInternal medicine (Tokyo, Japan)2020

An Elderly Case of Paraneoplastic Anti-NMDA Receptor Encephalitis Associated with Small-cell Lung Cancer Expressing NR1 Subunits.

Yuya Kobayashi, Mitsuto Sato, Michiaki Kinoshita, Masaki Kakizawa, Kayoko Higuchi, Mitsunori Yamada, Minori Kodaira, Yoshiki Sekijima

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Autoantibody Encephalitis: Presentation, Diagnosis, and Management.Journal of clinical neurology (Seoul, Korea) · 2022
    Review
  9. Article
  10. 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

8 authors at 3 institutions in 1 country.

Yuya KobayashiDepartment of Medicine (Neurology & Rheumatology), Shinshu University School of Medicine, Japan.
Mitsuto SatoDepartment of Medicine (Neurology & Rheumatology), Shinshu University School of Medicine, Japan.
Michiaki KinoshitaDepartment of Neurology, Suwa Red Cross Hospital, Japan.
Masaki KakizawaDepartment of Neurology, Aizawa Hospital, Japan.
Kayoko HiguchiDepartment of Pathology, Aizawa Hospital, Japan.
Mitsunori YamadaDepartment of Brain Disease Research, Shinshu University School of Medicine, Japan.
Minori KodairaDepartment of Medicine (Neurology & Rheumatology), Shinshu University School of Medicine, Japan.
Yoshiki SekijimaDepartment of Medicine (Neurology & Rheumatology), Shinshu University School of Medicine, Japan.
Shinshu University · JPAizawa Hospital · JPSuwa Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 61-year-old Japanese man presented with anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis. NR1 antibodies were detected in his cerebrospinal fluid. Chest computed tomography revealed lung tumor. The patient was diagnosed with paraneoplastic anti-NMDAR encephalitis associated with lung cancer and treated with two cycles of intravenous high-dose methylprednisolone and one cycle of intravenous immunoglobulin. However, he died one year later without improvement. An autopsy confirmed small-cell lung cancer (SCLC). Immunohistochemistry revealed the expression of NR1 subunits in the tumor cells, suggesting that SCLC may trigger NR1 autoimmunity though the expression of NR1 subunits as onconeural antigens, expanding the phenotypic spectrum of paraneoplastic neurological syndrome associated with SCLC.

Indexed as

AntibodiesAnti-N-Methyl-D-Aspartate Receptor EncephalitisAutoantibodiesHumansImmunoglobulinsImmunoglobulins, IntravenousImmunohistochemistryLung NeoplasmsMaleMethylprednisoloneMiddle AgedReceptors, N-Methyl-D-AspartateSmall Cell Lung CarcinomaAntibodiesAutoantibodiesImmunoglobulinsImmunoglobulins, IntravenousMethylprednisoloneNR1 NMDA receptorReceptors, N-Methyl-D-Aspartateanti-N-methyl-D-aspartate receptorencephalitisNMDARparaneoplastic syndromeSCLCsmall cell lung cancer

Identifiers

PMID32493856
PMCPMC7578603
OpenAlexW3030435919

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.