Evidence map›Paper›PMID 36581882›Full record

ArticleBMC neurology2022

Early predictors of new-onset immune-related seizures: a preliminary study.

Xiangsong Shi, Weiwei Cai, Xiulin Zhang, Heyue Pan, Chengbing Huang, Shouyong Wang, Jianyang Xu

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2022. 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
0.2field-weighted citation impact, top 41% 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, 2 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Xiangsong Shi *Department of Neurology, Huai'an Third People's Hospital, No. 272, Huaihai West Road, 223001, Huai'an, China.
Weiwei Cai *Department of Neurology, Huai'an Third People's Hospital, No. 272, Huaihai West Road, 223001, Huai'an, China.
Xiulin ZhangDepartment of Neurology, Huai'an Third People's Hospital, No. 272, Huaihai West Road, 223001, Huai'an, China.
Heyue PanDepartment of Neurology, Huai'an Third People's Hospital, No. 272, Huaihai West Road, 223001, Huai'an, China.
Chengbing HuangDepartment of Psychiatry, Huai'an Third People's Hospital, 223001, Huai'an, China.
Shouyong WangDepartment of Neurology, Huai'an Third People's Hospital, No. 272, Huaihai West Road, 223001, Huai'an, China. frankwsy@126.com.
Jianyang XuDepartment of Neurology, Huai'an Third People's Hospital, No. 272, Huaihai West Road, 223001, Huai'an, China. zgjshaxjy@126.com.
Second People’s Hospital of Huai’an · CNXuzhou Medical College · CN

Funding

General Program of Huai'an natural science fund projects HAB 202045
6 · The paper itself

Abstract

backgroundApproximately 60% of patients with autoimmune encephalitis (AE) exhibit secondary acute symptomatic seizures and showed highly sensitive to immunotherapy. However, it is difficult for many patients to receive early immunotherapy since the early identification of the cause in AE is more complex. This study aimed to investigate the early predictors of initial immune-related seizures and to guide the evaluation of treatment and prognosis.

methodsOne hundred and fifty-four patients with new-onset "unknown etiology" seizures with a course of disease less than 6 months were included. Serum and/or cerebrospinal fluid neuron-specific autoantibodies (NSAbs), including N-methyl-D-aspartate receptor (NMDAR), α-amino-3-hydroxy-5- Methyl-4-isoxazole propionic acid receptor 1 (AMPAR1), AMPAR2, anti-leucine rich glioma inactivated 1 antibody (LGI1), anti-gamma-aminobutyric acid type B receptor (GABABR), anti-contact protein-related protein-2 (CASPR2) were used to screen for immune etiology of the seizures. In addition, patients with epilepsy and encephalopathy were also examined via brain MRI, long-term video EEG, antibody prevalence in epilepsy and encephalopathy (APE2) score, and modified Rankin Scale (mRS). A logistic regression model was used to analyze the early predictors of immune etiology.

resultsThirty-four cases (22.1%) were positive for NSAbs. Among all 154 patients, 23 cases of autoimmune encephalitis (AE) (21 cases of NSAbs positive), 1 case of ganglionic glioma (NSAbs positive), 130 cases of epilepsy or seizures (12 cases of NSAbs positive) were recorded. Also, there were 17 patients (11.0%) with APE2 ≥ 4 points, and all of them met the clinical diagnosis of AE. The sensitivity and specificity of APE2 ≥ 4 points for predicting AE were 73.9% and 100%. The results of multivariate analysis showed that the NSAbs and APE2 scores independently influenced the early prediction of initial immune-related seizures (P < 0.05).

conclusionNSAbs and APE2 scores could act as early predictors of initial immune-related seizures.

Indexed as

Autoimmune Diseases of the Nervous SystemEpilepsyAutoantibodiesEncephalitisHashimoto DiseaseHumansRetrospective StudiesSeizuresAutoantibodiesAPE2Immune-relatedMRINeuronal autoantibodiesSeizures

Identifiers

PMID36581882
PMCPMC9798624
OpenAlexW4313331730

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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.