Evidence map›Paper›PMID 32948528›Full record

ArticleBMJ case reports2020

Bickerstaff's brainstem encephalitis associated with anti-GM1 and anti-GD1a antibodies.

Jonathan Cleaver, Richard James, Gurjit Chohan, Paul Lyons

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 86% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

4 authors at 1 institution in 1 country.

Jonathan CleaverDepartment of Neurology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK jonathan.cleaver@nhs.net.ORCID http://orcid.org/0000-0002-9657-5815
Richard JamesDepartment of Neuroradiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Gurjit ChohanDepartment of Neurology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Paul LyonsDepartment of Neurology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Royal United Hospital Bath NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bickerstaff's brainstem encephalitis (BBE) is a Guillain-Barré syndrome (GBS) spectrum disorder associated with predominantly central nervous system predilection. Patients exhibit a variable constellation of depressed consciousness, bilateral external ophthalmoplegia, ataxia and long tract signs. Although the pathophysiology is not fully understood, it has been associated with anti-GQ1b antibodies in two-thirds of patients. We present a patient with clinical features consistent with BBE and positive anti-GM1 and anti-GD1a antibodies. A diagnostic approach to the acutely unwell patient with brainstem encephalitis is explored in this clinical context with a literature review of the aforementioned ganglioside antibody significance. Intravenous immunoglobulin therapy is highlighted in BBE using up-to-date evidence-based extrapolation from GBS.

Indexed as

AdultAtaxiaAutoantibodiesBrain StemDiagnosis, DifferentialElectroencephalographyEncephalitisGangliosidesGlasgow Coma ScaleG(M1) GangliosideHumansMaleOphthalmoplegiaAutoantibodiesganglioside, GD1aGangliosidesG(M1) Gangliosidebrain stem / cerebellumcranial nervesneuro ITUneurology

Identifiers

PMID32948528
PMCPMC7511636
OpenAlexW3087739389

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.