Evidence map›Paper›PMID 38137968›Full record

ReviewMicroorganisms2023

Epstein-Barr Virus Encephalitis: A Review of Case Reports from the Last 25 Years.

Marine Peuchmaur, Joris Voisin, Mathieu Vaillant, Aurélie Truffot, Julien Lupo, Patrice Morand, Marion Le Maréchal, Raphaele Germi

Open access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Bilateral acute macular neuroretinopathy after Epstein-Barr virus encephalitis.American journal of ophthalmology case reports · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Frontiers in cellular and infection microbiology · 2025
    Article
  17. Article
  18. Article
  19. 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

8 authors at 3 institutions in 1 country.

Marine PeuchmaurUniversity Grenoble Alpes, CNRS, DPM, 38000 Grenoble, France.ORCID 0000-0002-8926-1922
Joris VoisinUniversity Grenoble Alpes, CNRS, CEA, IRIG IBS, 38000 Grenoble, France.
Mathieu VaillantUniversity Grenoble Alpes, Service de Neurologie, CHU Grenoble Alpes, 38000 Grenoble, France.
Aurélie TruffotUniversity Grenoble Alpes, CNRS, CEA, IRIG IBS, 38000 Grenoble, France.ORCID 0000-0002-7991-1733
Julien LupoUniversity Grenoble Alpes, CNRS, CEA, IRIG IBS, 38000 Grenoble, France.ORCID 0000-0002-6755-3115
Patrice MorandUniversity Grenoble Alpes, CNRS, CEA, IRIG IBS, 38000 Grenoble, France.
Marion Le MaréchalUniversity Grenoble Alpes, Inserm, CHU Grenoble Alpes, GIN, 38000 Grenoble, France.
Raphaele GermiUniversity Grenoble Alpes, CNRS, CEA, IRIG IBS, 38000 Grenoble, France.ORCID 0000-0001-7600-5930
Centre National de la Recherche Scientifique · FRCentre Hospitalier Universitaire de Grenoble · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although uncommon, Epstein-Barr virus-related neurological disorders represent the seventh most frequent cause of infectious encephalitis in adults. The limited number of publications on EBV encephalitis mainly document isolated clinical cases. This study aimed to summarize published data on EBV encephalitis. A systematic literature search identified 97 EBV encephalitis cases. In the selected cases, EBV-related neurological disorders manifested as lymphocytic pleocytosis in the cerebrospinal fluid (CSF) with moderate hyperproteinorachia. The EBV PCR test was positive in 87% of the CSF samples, with wide-ranging viral loads. When encephalitis occurred in the context of past EBV infections, all of the EBV PCR tests on CSF samples were positive. On the contrary, negative EBV PCR tests on CSF samples occurred only in the context of primary infections. EBV PCR was rarely carried out on blood samples, contributing minimally to the diagnosis. For the treatment of EBV encephalitis, Aciclovir was used alone in 29% of cases, and in association with other drugs in 40% of cases. Ganciclovir (30%), corticoids (52%), and immunoglobulins (15%) were mainly used in association with other drugs. Cerebral imaging was abnormal in 69% of cases, mostly in the cerebellum and basal ganglia. This work highlights that the EBV PCR test on CSF samples is currently the main laboratory diagnostic test to diagnose EBV encephalitis. This diagnostic test is useful; however, it is imperfect. New complementary diagnostic tools, approved treatments, and standardized practices could improve patient management.

Indexed as

biologyencephalitisEpstein-Barr virusimagingtreatment

Identifiers

PMID38137968
PMCPMC10745555
OpenAlexW4388864453

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.