Evidence map›Paper›PMID 32783406›Full record

SynthesisBrain and behavior2020

Anti-LGI1, anti-GABABR, and Anti-CASPR2 encephalitides in Asia: A systematic review.

Prinska Ghimire, Ujjwal Prakash Khanal, Bikram Prasad Gajurel, Ragesh Karn, Reema Rajbhandari, Sunanda Paudel, Niraj Gautam, Rajeev Ojha

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis 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 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  10. Features of the clinical course of Autoimmune Encephalitis Associated with various antibodies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

8 authors at 1 institution in 1 country.

Prinska GhimireMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.ORCID 0000-0003-0848-8322
Ujjwal Prakash KhanalMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Bikram Prasad GajurelDepartment of Neurology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Ragesh KarnDepartment of Neurology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Reema RajbhandariDepartment of Neurology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Sunanda PaudelDepartment of Neurology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Niraj GautamDepartment of Neurology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Rajeev OjhaDepartment of Neurology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.ORCID 0000-0001-7680-7036
Tribhuvan University Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe aim to review the literature to collate and describe features of encephalitides arising from autoantibodies against leucine-rich glioma-inactivated 1 (LGI1), gamma aminobutyric acid receptor (GABABR), and contactin-associated protein-like 2 (CASPR2) in Asian populations and compare them with findings of Western studies.

methodsPeer-reviewed articles published till 24 May 2020 were searched, and original, full-text studies from Asia with serum/CSF antibody-based diagnosis and at least 2 patients were selected. Twenty-four studies with 263 patients (139 anti-LGI1, 114 anti-GAGABR, and 10 anti-CASPR2) were included. Data were pooled to produce descriptive information on demographics, clinical characteristics, diagnostics, treatments, and outcome.

resultsThe mean age was 54.2 (anti-LGI1), 55.2 (anti-GABABR), and 47.7 years (anti-CASPR2), with an overall male predominance of 62.0%. Commonest clinical features across all types were seizures (87.5%), memory deficits (80.7%), psychiatric disturbances (75.9%), and altered consciousness (52.9%). Four anti-LGI1, 40 anti-GABABR, and 1 anti-CASPR2 patients had tumors. CSF, MRI, and EEG were abnormal in 33.3%, 54.1%, and 75% patients in anti-LGI1; 60.0%, 49.6%, and 85.7% in anti-GABABR; and 50%, 44.4%, and 100% in anti-CASPR2 patients, respectively. 95.6% patients received first-line therapy alone (steroids/IVIG/Plasma therapy), and 4.4% received second-line therapy (rituximab/cyclophosphamide). 91.7%, 63.6%, and 70% of patients had favorable outcomes (modified Rankin Score 0-2) with mortality rates at 2.5%, 23.2%, and 0% in the three types, respectively.

conclusionOur findings suggest that these disorders present in Asian patients at a relatively young age often with features of seizures, memory deficits, and psychiatric disturbances and usually demonstrate a favorable clinical outcome.

Indexed as

GliomaReceptors, GABAAsiaHumansIntracellular Signaling Peptides and ProteinsLeucineMaleMiddle AgedIntracellular Signaling Peptides and ProteinsLeucineReceptors, GABAanti-CASPR2 encephalitisanti-GABABR encephalitisanti-LGI1 encephalitisautoimmune encephalitis

Identifiers

PMID32783406
PMCPMC7559615
OpenAlexW3048670338

What OpenQuestion holds

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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.