Evidence map›Paper›PMID 33766120›Full record

ArticleJournal of medical case reports2021

Bilateral facial nerve palsy associated with amphiphysin antibody in metastatic breast cancer: a case report.

Vineet Kwatra, Michail Charakidis, Narayan V Karanth

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. 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
0.7field-weighted citation impact, top 29% 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
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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

3 authors at 1 institution in 1 country.

Vineet KwatraMedical Oncology Department, Alan Walker Cancer Centre, Royal Darwin Hospital, Northern Territory, Australia. v.kwatra@aoah.com.au.ORCID http://orcid.org/0000-0002-0912-4056
Michail CharakidisMedical Oncology Department, Alan Walker Cancer Centre, Royal Darwin Hospital, Northern Territory, Australia.
Narayan V KaranthMedical Oncology Department, Alan Walker Cancer Centre, Royal Darwin Hospital, Northern Territory, Australia.
Royal Darwin Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParaneoplastic neurological syndrome is an immune-mediated phenomenon where antibodies from tumor cells are produced against neuronal proteins. Amphiphysin antibody is an onconeural antibody linked to the diagnosis of breast cancer and small-cell lung cancer. It is uncommon and typically associated with stiff-person syndrome, of which 90% of patients are eventually diagnosed with breast cancer. CASE PRESENTATION: We present a case of a 47-year-old Caucasian woman with metastatic hormone receptor-positive breast cancer who developed bilateral facial nerve palsy while on treatment with nab-paclitaxel. The patient was found to have anti-amphiphysin antibody in the serum and cerebrospinal fluid. She was treated with methylprednisolone and intravenous immunoglobulin, which resulted in partial improvement in her facial nerve palsy.

conclusionsThis case highlights a rare presentation of bilateral facial nerve palsy that likely related to paraneoplastic syndrome associated with the presence of anti-amphiphysin antibody.

Indexed as

Breast NeoplasmsFacial ParalysisStiff-Person SyndromeFacial NerveFemaleHumansMiddle AgedNerve Tissue ProteinsamphiphysinNerve Tissue ProteinsAmphiphysin antibodyBell’s palsyBreast cancerFacial nerve palsyNab-paclitaxelParaneoplastic syndrome

Identifiers

PMID33766120
PMCPMC7995578
OpenAlexW3136619822

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.