Evidence map›Paper›PMID 33333471›Full record

ArticleJournal of neuroimmunology2021

A case of area postrema variant of neuromyelitis optica spectrum disorder following SARS-CoV-2 infection.

Ritwik Ghosh, Kaustav De, Devlina Roy, Arpan Mandal, Subrata Biswas, Subhrajyoti Biswas, Swagatam Sengupta, Dinabandhu Naga, Mrinalkanti Ghosh, Julián Benito-León

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuroimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  16. Neurological update: COVID-19.Journal of neurology · 2021
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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

10 authors at 2 institutions in 2 countries.

Ritwik GhoshDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Kaustav DeDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Devlina RoyDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Arpan MandalDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Subrata BiswasDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Subhrajyoti BiswasDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Swagatam SenguptaDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Dinabandhu NagaDepartment of General Medicine, Burdwan Medical College, Burdwan, West Bengal, India.
Mrinalkanti GhoshDepartment of Radiology, Burdwan Medical College, Burdwan, West Bengal, India.
Julián Benito-LeónDepartment of Neurology, University Hospital "12 de Octubre", Madrid, Spain; Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain; Department of Medicine, Complutense University, Madrid, Spain. Electronic address: jbenitol67@gmail.com.
Burdwan Medical College & Hospital · INResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuromyelitis optica spectrum disorder (NMOSD) is a disabling autoimmune astrocytopathic channelopathy, characterized by the presence of pathogenic antibodies to aquaporin-4 (AQP-4) water channels. Several viral infections including HIV, influenza virus, varicella zoster virus, and Epstein Barr virus, among others, have been alleged to trigger NMOSD in both immunocompetent and immunocompromised individuals. Neurological manifestations of coronavirus infectious disease of 2019 (COVID-19) have been ever evolving and the spectrum of neuraxial involvement is broadening. Albeit it may affect any area of the neural axis, the involvement of the spinal cord is rare compared to that of the brain and of the peripheral nervous system. Cases with acute longitudinally extensive transverse myelitis (LETM) have been recently reported in SARS-CoV-2 infection but did not fulfill the international consensus diagnostic criteria for NMOSD. AQP-4-antibody-seropositive NMOSD following SARS-CoV-2 infection had not yet been reported. We herein report a novel case of a previously healthy man who presented with a clinical picture of bouts of vomiting and hiccoughs (area postrema syndrome), which rapidly evolved to acute LETM, all following SARS-CoV-2 infection. He was finally diagnosed to be a case of seropositive NMOSD which presented as area postrema syndrome. The response to immunomodulatory drugs was excellent.

Indexed as

COVID-19Immune-mediatedLongitudinally extensive transverse myelitisNeuromyelitis opticaNMOSDSARS-CoV-2

Identifiers

PMID33333471
PMCPMC7657006
OpenAlexW3098088158

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.