Evidence map›Paper›PMID 32535682›Full record

ReviewJournal of neurology2020

Refractory anti-NMDAR encephalitis successfully treated with bortezomib and associated movements disorders controlled with tramadol: a case report with literature review.

Serena Marita Lazzarin, Marco Vabanesi, Giordano Cecchetti, Raffaella Fazio, Giovanna Franca Fanelli, Maria Antonietta Volonté, Angela Genchi, Antonino Giordano, Vittorio Martinelli, Sergio Colombo and 5 more

Erratum issuedAbstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 13% 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, 25 citations in OpenAlex.

  1. Review
  2. Immunotherapy for autoimmune encephalitis.Cell death discovery · 2025
    Review
  3. Article
  4. Review
  5. Recent research on immunotherapy for anti-N-methyl-D-aspartate receptor encephalitis.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Review
  6. Article
  7. Th17 cells regulate the progress of anti-NMDAR encephalitis.American journal of translational research · 2022
    Article
  8. Bortezomib in autoimmune hemolytic anemia and beyond.Therapeutic advances in hematology · 2021
    Review
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Serena Marita LazzarinNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Marco Vabanesi *Neurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID http://orcid.org/0000-0002-8283-7079
Giordano CecchettiNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID http://orcid.org/0000-0002-6544-410X
Raffaella FazioNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giovanna Franca FanelliNeurophysiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maria Antonietta VolontéNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Angela GenchiNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonino GiordanoNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID http://orcid.org/0000-0002-3685-8311
Vittorio MartinelliNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID http://orcid.org/0000-0002-5987-5739
Sergio ColomboGeneral Intensive Care Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Paolo BeccariaGeneral Intensive Care Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Milena MucciGeneral Intensive Care Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Jacopo PeccatoriHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo FilippiNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. filippi.massimo@hsr.it.ORCID http://orcid.org/0000-0002-5485-0479
Fabio MinicucciNeurophysiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Vita-Salute San Raffaele University · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a potentially fatal autoimmune disease, characterized by autoantibody-mediated neurotransmission impairment in multiple brain locations. The course of this condition often comprises altered mental status, autonomic dysfunctions, refractory seizures and hyperkinetic movement disorders. Available disease-modifying therapies include corticosteroids, i.v. immunoglobulins, plasma exchange, rituximab and cyclophosphamide. In a subgroup of patients not responding to B-cell depletion, bortezomib, a proteasome inhibitor, has shown promising evidence of efficacy. The time course of recovery from acute phase may be very slow (weeks/months), and only few data are available in literature about the concurrent management of encephalitis-associated movement disorders. We report a case of severe anti-NMDAR encephalitis in a 29-year-old woman, not responsive to first- and second-line treatments, with persistent involuntary motor manifestations. Starting three months after symptom onset, four cycles of bortezomib have been administered; subsequently we observed a progressive improvement of neurological status. Meanwhile, motor manifestations were controlled after the administration of tramadol, a non-competitive NMDA receptor antagonist.

Indexed as

Anti-N-Methyl-D-Aspartate Receptor EncephalitisMovement DisordersTramadolAdultBortezomibFemaleHumansRituximabBortezomibRituximabTramadolAnti-NMDAR encephalitisAutoimmune encephalitisBortezomibEEGMovement disorders

Identifiers

PMID32535682
OpenAlexW3035362564

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.