Evidence map›Paper›PMID 38614933›Full record

ArticleHematology, transfusion and cell therapy

Therapeutic role of plasma exchange in the management of stiff person syndrome: experience from a tertiary care centre.

Vijay Kumawat, Parmatma Prasad Tripathi, Netravathi M, Anita Mahadevan, Anchan Vidyashree Vittal

Open access · diamondAbstract read
In one paragraph

Article in Hematology, transfusion and cell therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 4 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. 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

5 authors at 1 institution in 1 country.

Vijay KumawatTransfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, India. Electronic address: kumawatdrvijay@gmail.com.
Parmatma Prasad TripathiTransfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Netravathi MTransfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Anita MahadevanTransfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Anchan Vidyashree VittalTransfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
National Institute of Mental Health and Neurosciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe stiff person syndrome (SPS) is a rare and disabling neurological disorder characterized by muscle stiffness, painful spasms and rigidity involving the proximal and axial limb muscles, with an estimated incidence of 1 case per million per year. The first line of treatment for symptomatic management includes gamma-aminobutyric acid (GABA)ergic agonists, benzodiazepines and baclofen. The therapeutic plasma exchange (TPE), alone or as an adjuvant to other forms of immunomodulation, has been used as a therapeutic option, particularly in refractory cases.

methodsAn observational study was performed to review SPS patient symptoms, comorbidities, electromyography (EMG) studies and treatment, identifying autoantibodies, therapeutic plasma exchange (TPE) procedural details and clinical response. MAIN

resultsFive patients (4 male and one female) were treated with TPE during the study period as adjuvant therapy. The average age was 47 years (range 34 - 61 years), and anti-glutamic acid decarboxylase 65-kilodalton isoform (anti-GAD65) antibodies were positive in 80 % (4/5) of the patient population. All patients received immunosuppressive drugs along with TPE. Four patients received TPE during the first admission and one received it during the third hospital admission. All patients showed good improvement immediately after TPE, but it was not a sustainable effect.

conclusionTPE may be helpful as adjuvant therapy for SPS patients to provide relief from clinical symptoms.

Indexed as

Anti-GAD65 antibodiesModified Rankin scoreStiff person syndromeTherapeutic plasma exchange

Identifiers

PMID38614933
PMCPMC11451340
OpenAlexW4392786428

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.