Evidence map›Paper›PMID 33145945›Full record

ArticleEuropean journal of neurology2021

Longitudinal measurement of cerebrospinal fluid neurofilament light in anti-N-methyl-D-aspartate receptor encephalitis.

Stefan Macher, Tobias Zrzavy, Romana Höftberger, Patrick Altmann, Ekatarina Pataraia, Fritz Zimprich, Thomas Berger, Paulus Rommer

Open access · hybridAbstract read
In one paragraph

Article in European journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Neuroglial biomarkers in autoimmune encephalitis: advances in diagnosis, prognosis, and pathophysiological insights.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Observational
  3. Article
  4. Neuroglial markers of damage in autoimmune neurology.Therapeutic advances in neurological disorders · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Serum NfL associated with anti-NMDA receptor encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  12. Review
  13. Article
  14. Article
  15. Review
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.

Stefan MacherDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8068-1528
Tobias ZrzavyDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8909-1591
Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Patrick AltmannDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-2983-3693
Ekatarina PataraiaDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Fritz ZimprichDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Paulus RommerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5209-6647
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeBiomarkers reflecting the course of patients suffering from anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) are urgently needed. Neurofilament light chains (NfL) have been studied as potential markers for neuroaxonal injury mainly in neuroinflammatory diseases, but so far there have been only in a few small reports on anti-NMDARE. We aimed to compare the longitudinal course of cerebrospinal fluid (CSF)-NfL levels and anti-N-methyl-D-aspartate receptor (anti-NMDAR) antibodies with clinical parameters in six patients with anti-NMDARE.

methodsLongitudinal measurement of CSF-NfL levels and CSF anti-NMDAR antibodies in six patients suffering from anti-NMDARE was performed.

resultsThe major finding of this study is that most of our patients showed highly elevated NfL, with peak levels considerably delayed to clinical nadir. High NfL levels were associated with hippocampal atrophy but not with tumors detected. Furthermore, we did not find a clear relationship between NfL levels, CSF antibody titer, and CSF inflammatory markers.

conclusionsCSF-NfL levels do not predict short-term outcome but rather are associated with intensive care unit stay and extreme delta brushes. However, high CSF-NFL levels were associated with long-term outcome. Our data suggest early aggressive immunotherapy to avoid primary and secondary neuroaxonal damage.

Indexed as

Anti-N-Methyl-D-Aspartate Receptor EncephalitisAntibodiesBiomarkersHumansIntermediate FilamentsNeurofilament ProteinsReceptors, N-Methyl-D-AspartateAntibodiesBiomarkersNeurofilament ProteinsReceptors, N-Methyl-D-Aspartateanti-N-methyl-D-aspartate receptor encephalitisencephalitisneurodegenerationneurofilament light

Identifiers

PMID33145945
PMCPMC7984371
OpenAlexW3096264376

What OpenQuestion holds

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Registered trials

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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.