Evidence map›Paper›PMID 34093529›Full record

Observational studyFrontiers in immunology2021

Functional Recovery in Autoimmune Encephalitis: A Prospective Observational Study.

Thomas Seifert-Held, Katharina Eberhard, Christian Lechner, Stefan Macher, Harald Hegen, Tobias Moser, Gregor Brecl Jacob, Gertraud Puttinger, Raffi Topakian, Michael Guger and 15 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Recent research on immunotherapy for anti-N-methyl-D-aspartate receptor encephalitis.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Review
  6. Article
  7. 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

25 authors at 12 institutions in 2 countries.

Thomas Seifert-HeldDepartment of Neurology, Medical University of Graz, Graz, Austria.
Katharina EberhardCore Facility Computational Bioanalytics, Center for Medical Research, Medical University of Graz, Graz, Austria.
Christian LechnerDivision of Pediatric Neurology, Department of Pediatrics I, Medical University of Innsbruck, Innsbruck, Austria.
Stefan MacherDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Harald HegenDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Tobias MoserDepartment of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.
Gregor Brecl JacobDepartment of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Gertraud PuttingerDepartment of Neurology 1, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Raffi TopakianDepartment of Neurology, Academic Teaching Hospital Wels-Grieskirchen, Wels, Austria.
Michael GugerDepartment of Neurology 2, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Emrah KacarDepartment of Neurology, University Clinic Tulln, Karl Landsteiner University of Health Sciences, Tulln, Austria.
Lea ZocheDepartment of Neurology, Hospital Hietzing, Vienna, Austria.
Desiree De SimoniDepartment of Neurology, University Clinic St. Pölten, Karl Landsteiner University of Health Sciences, St. Pölten, Austria.
Andreas SeiserDepartment of Neurology, University Clinic Tulln, Karl Landsteiner University of Health Sciences, Tulln, Austria.
Stefan OberndorferDepartment of Neurology, University Clinic St. Pölten, Karl Landsteiner University of Health Sciences, St. Pölten, Austria.
Christoph BaumgartnerDepartment of Neurology, Hospital Hietzing, Vienna, Austria.
Walter StruhalDepartment of Neurology, University Clinic Tulln, Karl Landsteiner University of Health Sciences, Tulln, Austria.
Friedrich ZimprichDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Johann SellnerDepartment of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.
Florian DeisenhammerDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Christian EnzingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Markus ReindlDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Helmut RauschkaDepartment of Neurology, Hospital Donaustadt, Vienna, Austria.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Karl Landsteiner University of Health Sciences · ATMedical University of Vienna · ATMedical University of Graz · ATInnsbruck Medical University · ATUniversität Innsbruck · ATDonauspital · ATKlinik Hietzing · ATKlinikum Wels-Grieskirchen · ATLandesklinikum Korneuburg · ATLjubljana University Medical Centre · SIParacelsus Medical University · ATSigmund Freud University Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prospective observations of functional recovery are lacking in patients with autoimmune encephalitis defined by antibodies against synaptic proteins and neuronal cell surface receptors. Methods: Adult patients with a diagnosis of autoimmune encephalitis were included into a prospective registry. At 3, 6 and 12 months of follow-up, the patients' modified Rankin Scale (mRS) was obtained. Results: Patients were stratified into three groups according to their antibody (Ab) status: anti-NMDAR-Ab (n=12; group I), anti-LGI1/CASPR2-Ab (n=35; group II), and other antibodies (n=24; group III). A comparably higher proportion of patients in group I received plasma exchange/immunoadsorption and second line immunosuppressive treatments at baseline. A higher proportion of patients in group II presented with seizures. Group III mainly included patients with anti-GABA Conclusions: The different dynamics in the recovery of patients with certain autoimmune encephalitides have important implications for clinical trials. The high proportion of patients with significant disability at 3 months after diagnosis in groups I and III points to the need for improving treatment options. More distinct scores rather than the mRS are necessary to differentiate potential neurological improvements in patients with anti-LGI1-/CASPR2-encephalitis.

Indexed as

Autoimmune Diseases of the Nervous SystemEncephalitisRecovery of FunctionAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesYoung Adultanti-CASPR2-encephalitisanti-LGI1-encephalitisanti-NMDAR-encephalitisautoimmune encephalitismodified Rankin Scale

Identifiers

PMID34093529
PMCPMC8175889
OpenAlexW3164241006

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.