Evidence map›Paper›PMID 34248832›Full record

ArticleFrontiers in neurology2021

Case Report: Successful Stabilization of Marburg Variant Multiple Sclerosis With Ocrelizumab Following High-Dose Cyclophosphamide Rescue.

Valeria Koska, Moritz Förster, Katja Brouzou, Maryam Hatami, Ercan Arat, Ahmet Aytulun, Philipp Albrecht, Orhan Aktas, Patrick Küry, Sven G Meuth and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Treatment-resistant inflammatory demyelinating pseudotumor with Marburg-like features: A narrative review-based treatment approach.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Review
  6. Article
  7. Article
  8. 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

11 authors at 1 institution in 1 country.

Valeria KoskaDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Moritz FörsterDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Katja BrouzouDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Maryam HatamiDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Ercan AratDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Ahmet AytulunDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Philipp AlbrechtDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Orhan AktasDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Patrick KüryDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Sven G MeuthDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
David KremerDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Heinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Marburg variant of multiple sclerosis (Marburg MS) is the most aggressive form of MS, often leading to death soon after onset. Here we describe the case of a 26-year-old Marburg MS patient presenting with severe neurological deficits requiring intensive care. In spite of more than 100 gadolinium-enhancing MRI lesions, the patient recovered almost completely upon high-dose cyclophosphamide (HiCy) rescue treatment (four consecutive days with 50 mg/kg/day, cumulative absolute dose of 14 g). Following the acute treatment, her disease was stabilized by B cell depletion using ocrelizumab. Clinical amelioration was reflected by a decrease of MRI activity and a marked decline of serum neurofilament light chain levels. HiCy rescue treatment followed by ocrelizumab as a maintenance therapy prevented permanent disability and achieved an almost complete clinical and drastic radiological improvement in this Marburg MS patient.

Indexed as

high dose cyclophosphamidemalign MSMarburg MSneurofilamentocrelizumab

Identifiers

PMID34248832
PMCPMC8260950
OpenAlexW3173932287

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.