Evidence map›Paper›PMID 37221051›Full record

Observational studyJournal of neurology, neurosurgery, and psychiatry2023

Cerebral enhancement in MOG antibody-associated disease.

Paul Elsbernd, Laura Cacciaguerra, Karl N Krecke, John J Chen, David Gritsch, A Sebastian Lopez-Chiriboga, Elia Sechi, Vyanka Redenbaugh, Padraig P Morris, Jonathan L Carter and 6 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of neurology, neurosurgery, and psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Lumbosacral dura mater and cauda equina lesions in MOG antibody-associated disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. MOG Antibody Disease: Nuances in Presentation, Diagnosis, and Management.Current neurology and neuroscience reports · 2024
    Review
  17. Observational
  18. Article
  19. 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

16 authors.

Paul Elsbernd *Department of Neurology, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
Laura Cacciaguerra *Department of Neurology, Vita-Salute San Raffaele University, Milano, Italy.
Karl N KreckeDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
John J ChenDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
David GritschDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.
A Sebastian Lopez-ChiribogaDepartment of Neurology, Mayo Clinic, Jacksonville, Forida, USA.
Elia SechiDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.
Vyanka RedenbaughDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Padraig P MorrisDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Jonathan L CarterDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.
Dean M WingerchukDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.
Jan-Mendelt TillemaDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Cristina Valencia-SanchezDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.ORCID 0000-0003-0116-8035
Smathorn ThakolwiboonDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Sean J PittockDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-6140-5584
Eoin P FlanaganDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA flanagan.eoin@mayo.edu.ORCID 0000-0002-6661-2910

Funding

Utilizing epidemiology, imaging and fluid biomarkers in MOG antibody-associated disease to inform prognosis, pathogenesis and therapeuticsR01NS113828 · NINDS · MAYO CLINIC ROCHESTER · PI Eoin P Flanagan · 2020 to 2026
$2.4M
NINDS NIH HHS R01 NS113828
6 · The paper itself

Abstract

introductionLimited data exist on brain MRI enhancement in myelin-oligodendrocyte-glycoprotein (MOG) antibody-associated disease (MOGAD) and differences from aquaporin-4-IgG-positive-neuromyelitis-optica-spectrum-disorder (AQP4+NMOSD), and multiple sclerosis (MS).

methodsIn this retrospective observational study, we identified 122 Mayo Clinic MOGAD patients (1 January 1996-1 July 2020) with cerebral attacks. We explored enhancement patterns using a discovery set (n=41). We assessed enhancement frequency and Expanded Disability Status Scale scores at nadir and follow-up in the remainder (n=81). Two raters assessed T1-weighted-postgadolinium MRIs (1.5T/3T) for enhancement patterns in MOGAD, AQP4+NMOSD (n=14) and MS (n=26). Inter-rater agreement was assessed. Leptomeningeal enhancement clinical correlates were analysed.

resultsEnhancement occurred in 59/81 (73%) MOGAD cerebral attacks but did not influence outcome. Enhancement was often patchy/heterogeneous in MOGAD (33/59 (56%)), AQP4+NMOSD (9/14 (64%); p=0.57) and MS (16/26 (62%); p=0.63). Leptomeningeal enhancement favoured MOGAD (27/59 (46%)) over AQP4+NMOSD (1/14 (7%); p=0.01) and MS (1/26 (4%); p<0.001) with headache, fever and seizures frequent clinical correlates. Ring enhancement favoured MS (8/26 (31%); p=0.006) over MOGAD (4/59 (7%)). Linear ependymal enhancement was unique to AQP4+NMOSD (2/14 (14%)) and persistent enhancement (>3 months) was rare (0%-8%) across all groups. Inter-rater agreement for enhancement patterns was moderate.

conclusionsEnhancement is common with MOGAD cerebral attacks and often has a non-specific patchy appearance and rarely persists beyond 3 months. Leptomeningeal enhancement favours MOGAD over AQP4+NMOSD and MS.

Indexed as

Multiple SclerosisNeuromyelitis OpticaAmbulatory Care FacilitiesAquaporin 4HeadacheHumansMyelin-Oligodendrocyte GlycoproteinNeuroimagingAquaporin 4Myelin-Oligodendrocyte GlycoproteinMRIMULTIPLE SCLEROSISNEUROIMMUNOLOGY

Identifiers

PMID37221051
PMCPMC10679850

What OpenQuestion holds

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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.