Evidence map›Paper›PMID 33848319›Full record

ArticleBrain : a journal of neurology2021

Classification of neurological diseases using multi-dimensional CSF analysis.

Catharina C Gross, Andreas Schulte-Mecklenbeck, Lohith Madireddy, Marc Pawlitzki, Christine Strippel, Saskia Räuber, Julia Krämer, Leoni Rolfes, Tobias Ruck, Carolin Beuker and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 65 citations in OpenAlex.

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  5. Immune cell profiling reveals expanded stem cell-like memory T cells in anti-GAD65-associated neurological syndromes.Proceedings of the National Academy of Sciences of the United States of America · 2026
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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

22 authors at 3 institutions in 2 countries.

Catharina C GrossDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Andreas Schulte-MecklenbeckDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0003-3855-4706
Lohith MadireddyDepartment of Neurology, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.
Marc PawlitzkiDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0003-3080-2277
Christine StrippelDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Saskia RäuberDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0001-8901-5572
Julia KrämerDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Leoni RolfesDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Tobias RuckDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0001-6332-8650
Carolin BeukerDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Antje Schmidt-PogodaDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Lisa LohmannDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Tilman Schneider-HohendorfDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0002-3717-5176
Tim HahnDepartment of Psychiatry, University of Münster, 48149 Münster, Germany.
Nicholas SchwabDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0001-5494-9885
Jens MinnerupDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Nico MelzerDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Luisa KlotzDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Sven G MeuthDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Gerd Meyer Zu HörsteDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
Sergio E BaranziniDepartment of Neurology, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University and University Hospital Münster, 48149 Münster, Germany.
University Hospital Münster · DEUniversity of California, San Francisco · USUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although CSF analysis routinely enables the diagnosis of neurological diseases, it is mainly used for the gross distinction between infectious, autoimmune inflammatory, and degenerative disorders of the CNS. To investigate, whether a multi-dimensional cellular blood and CSF characterization can support the diagnosis of clinically similar neurological diseases, we analysed 546 patients with autoimmune neuroinflammatory, degenerative, or vascular conditions in a cross-sectional retrospective study. By combining feature selection with dimensionality reduction and machine learning approaches we identified pan-disease parameters that were altered across all autoimmune neuroinflammatory CNS diseases and differentiated them from other neurological conditions and inter-autoimmunity classifiers that subdifferentiate variants of CNS-directed autoimmunity. Pan-disease as well as diseases-specific changes formed a continuum, reflecting clinical disease evolution. A validation cohort of 231 independent patients confirmed that combining multiple parameters into composite scores can assist the classification of neurological patients. Overall, we showed that the integrated analysis of blood and CSF parameters improves the differential diagnosis of neurological diseases, thereby facilitating early treatment decisions.

Indexed as

BiomarkersCohort StudiesDiagnosis, DifferentialFemaleHumansInflammation MediatorsMaleNervous System DiseasesRetrospective StudiesBiomarkersInflammation MediatorsCNS autoimmunityCSFdifferential diagnosisimmune profilemultiple sclerosis

Identifiers

PMID33848319
PMCPMC8557345
OpenAlexW3152673411

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.