Evidence map›Paper›PMID 34285095›Full record

ReviewNeurology(R) neuroimmunology & neuroinflammation2021

Paraneoplastic AQP4-IgG-Seropositive Neuromyelitis Optica Spectrum Disorder Associated With Teratoma: A Case Report and Literature Review.

Ryotaro Ikeguchi, Yuko Shimizu, Ayato Shimomura, Miki Suzuki, Kanoko Shimoji, Takashi Motohashi, Tomoko Yamamoto, Noriyuki Shibata, Kazuo Kitagawa

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Neurology(R) neuroimmunology & neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. The temporal relationship of paraneoplastic aquaporin-4-IgG seropositive neuromyelitis optica spectrum disorder (NMOSD) and breast cancer: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Pooled it
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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

9 authors at 1 institution in 1 country.

Ryotaro IkeguchiFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Yuko ShimizuFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan. shimizu.yuko@twmu.ac.jp.
Ayato ShimomuraFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Miki SuzukiFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Kanoko ShimojiFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Takashi MotohashiFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Tomoko YamamotoFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Noriyuki ShibataFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Kazuo KitagawaFrom the Department of Neurology (R.I., Y.S., A.S., M.S., K.K.), Tokyo Women's Medical University; Department of Gynecology (K.S., T.M.), Tokyo Women's Medical University; and Department of Pathology (T.Y., N.S.), Tokyo Women's Medical University, Tokyo, Japan.
Tokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess a case of paraneoplastic aquaporin-4 (AQP4)-immunoglobulin G (IgG)-seropositive neuromyelitis optica spectrum disorder (NMOSD) associated with teratoma and determine whether it is a paraneoplastic neurologic disorder.

methodsA single case study and literature review of 5 cases.

resultsA 27-year-old woman presented with diplopia, facial nerve palsy, paraplegia, sensory dysfunction of lower limbs, dysuria, nausea, and vomiting. Spinal cord MRI detected an extensive longitudinal lesion in the spinal cord, and brain MRI detected abnormal lesions in the right cerebral peduncle and tegmentum of the pons. CSF analysis revealed positive oligoclonal IgG bands (OCBs). The patient tested positive for AQP4-IgG, confirming a diagnosis of NMOSD. An abdominal CT scan detected an ovarian tumor. After steroid therapy and tumor removal, the patient progressively improved, with only mild sensory dysfunction. Histopathologic analysis of the tumor revealed a teratoma and the presence of glial fibrillary acidic protein (GFAP)

conclusionsThis study suggests that ovarian teratoma may trigger the development of AQP4-IgG-seropositive NMOSD. Further studies are needed to elucidate the pathogenesis of teratoma-associated NMOSD.

Indexed as

AdultAquaporin 4BrainFemaleHumansImmunoglobulin GNeuromyelitis OpticaOvarian NeoplasmsSpinal Cord NeoplasmsTeratomaAQP4 protein, humanAquaporin 4Immunoglobulin G

Identifiers

PMID34285095
PMCPMC8293286
OpenAlexW3184718259

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.