Evidence map›Paper›PMID 38212058›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2024

Head trauma results in manyfold increased risk of multiple sclerosis in genetically susceptible individuals.

Eva Johansson, Lars Alfredsson, Pernilla Strid, Ingrid Kockum, Tomas Olsson, Anna Karin Hedström

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
5.5field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Neurotrauma and multiple sclerosis: the silent catalyst - a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Article
  3. Progression Independent of the Triggering Event in Neurologic Diseases.Neurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  4. Review
  5. Review
  6. Blood-Brain Barrier Disruption in Neuroimmunological Disease.International journal of molecular sciences · 2024
    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

6 authors at 1 institution in 1 country.

Eva JohanssonDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Lars AlfredssonClinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Pernilla StridClinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Ingrid KockumClinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Tomas OlssonClinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Anna Karin HedströmDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden anna.hedstrom@ki.se.ORCID 0000-0002-6612-4749
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge register-based studies have reported an association between head trauma and increased risk of multiple sclerosis (MS). We aimed to investigate possible interactions between head trauma and MS-associated HLA genes in relation to MS risk.

methodsWe used a Swedish population-based case-control study (2807 incident cases, 5950 matched controls with HLA genotypes available for 2057 cases, 2887 controls). Subjects with and without a history of self-reported head trauma were compared regarding MS risk, by calculating ORs with 95% CIs using logistic regression models. Additive interaction between head trauma,

resultsA history of head trauma was associated with a 30% increased risk of subsequently developing MS (OR 1.34, 95% CI 1.17 to 1.53), with a trend showing increased risk of MS with increasing number of head impacts (p=0.03). We observed synergistic effects between recent head trauma and

conclusionsOur findings align with previous observations of a dose-dependent association between head trauma and increased risk of MS and add a novel aspect of this association by revealing synergistic effects between recent head trauma and MS-associated HLA genes.

Indexed as

Craniocerebral TraumaGenetic Predisposition to DiseaseHLA-DRB1 ChainsMultiple SclerosisAdultAgedCase-Control StudiesFemaleGenotypeHLA-A2 AntigenHumansMaleMiddle AgedRisk FactorsSwedenYoung AdultHLA-A2 AntigenHLA-DRB1 ChainsEPIDEMIOLOGYGENETICSHEAD INJURYMULTIPLE SCLEROSISTRAUMATIC BRAIN INJURY

Identifiers

PMID38212058
PMCPMC11103305
OpenAlexW4390755136

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.