Evidence map›Paper›PMID 33192960›Full record

ArticleFrontiers in neurology2020

Progressive Cerebral Small Vessel Disease Caused by an Autoimmune Response to Intravesical Bacille-Calmette-Guérin Treatment.

Anouck Becker, Iris Quasar Grunwald, Marcus M Unger, Stefanie Behnke, Joerg Spiegel, Umut Yilmaz, Silke Walter, Klaus Faßbender

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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 2 institutions in 2 countries.

Anouck BeckerDepartment of Neurology, Saarland University, Homburg, Germany.
Iris Quasar GrunwaldNeuroscience Unit, Faculty of Medicine, Anglia Ruskin University, Chelmsford, United Kingdom.
Marcus M UngerDepartment of Neurology, Saarland University, Homburg, Germany.
Stefanie BehnkeDepartment of Neurology, Saarland University, Homburg, Germany.
Joerg SpiegelDepartment of Neurology, Saarland University, Homburg, Germany.
Umut YilmazDepartment of Neuroradiology, Saarland University, Homburg, Germany.
Silke WalterDepartment of Neurology, Saarland University, Homburg, Germany.
Klaus FaßbenderDepartment of Neurology, Saarland University, Homburg, Germany.
Saarland University · DENational Health Service · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic BCGitis and autoimmune diseases are possible adverse events of intravesical Bacille Calmette-Guérin-(BCG)-instillations in the treatment of urothelioma cancer. We present the case of an 83-years-old male patient with rapid progressive symptoms of dementia up to mutism as well as tonic seizures. Immune-mediated cerebral small vessel disease was diagnosed and retraced to former instillations of BCG. Intense immunosuppressive treatment was performed and clinical restoration was achieved within several months. While cerebral vasculitis due to BCGitis has already been described before, this is to our knowledge the first case report to illustrate an immune-mediated small vessel disease after BCG-instillations. This should be considered in patients with rapidly progressive dementia-like symptoms treated with BCG, as an immunosuppressive treatment can be highly effective even at severe clinical stages.

Indexed as

autoimmune diseaseBacille-Calmette-Guerin (BCG)BCGcerebral vasculitismolecular mimicrysmall vessel diseaseurothelioma

Identifiers

PMID33192960
PMCPMC7649756
OpenAlexW3095265685

What OpenQuestion holds

Textmetadata
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.