Evidence map›Paper›PMID 34157987›Full record

ArticleBMC neurology2021

Tocilizumab-associated posterior reversible encephalopathy syndrome in giant-cell arteritis - case report.

Michaela Butryn, Sabine Mewes, Eugen Feist, Oliver Beuing, Christian Müller, Jens Neumann

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC neurology, 2021. 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
0.5field-weighted citation impact, top 39% 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, 4 citations in OpenAlex.

  1. Article
  2. Review
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

6 authors at 3 institutions in 1 country.

Michaela ButrynInstitute of Cognitive Neurology and Dementia Research, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Sabine MewesDepartment of Rheumatology, |Helios clinic, Gommern, Germany.
Eugen FeistDepartment of Rheumatology, |Helios clinic, Gommern, Germany.
Oliver BeuingDepartment of Radiology, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Christian MüllerDepartment of Gastroenterology, Hepatology und Infectiology, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Jens NeumannDepartment of Neurology, Otto von Guericke University Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany. jens.neumann@med.ovgu.de.
Otto-von-Guericke University Magdeburg · DEHelios Kliniken · DEGerman Center for Neurodegenerative Diseases · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backroundWe describe one of the first cases of a Posterior reversible encephalopathy syndrome (PRES) under tocilizumab as treatment of Giant cell arteritis (GCA). CASE PRESENTATION: A 65-year-old female with known GCA and treatment with Tocilizumab (TCZ) developed a convulsive epileptic seizure for the first time. MRI was suggestive of PRES and an associated left sided occipital hemorrhage. Extensive high blood pressure values were not detected. The patient recovered within a week and no further seizures occurred under anticonvulsive medication.

conclusionPRES during the treatment with Tocilizumab hasn't been described in GCA so far. There are single reports of an association between TCZ and PRES in other entities. Thus, a link between interleukin-6 and the integrity of the vasculature could be considered. The clinical consequence should be a stringent blood pressure monitoring in the ambulant setting of patients receiving TCZ.

Indexed as

AgedAntibodies, Monoclonal, HumanizedFemaleGiant Cell ArteritisHemorrhageHumansMagnetic Resonance ImagingPosterior Leukoencephalopathy SyndromeAntibodies, Monoclonal, HumanizedtocilizumabGiant cell arteritisPosterior reversible encephalopathy syndromeTocilizumab

Identifiers

PMID34157987
PMCPMC8218423
OpenAlexW3175701110

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.