Evidence map›Paper›PMID 38751974›Full record

ArticleFrontiers in medicine2024

Posterior reversible encephalopathy syndrome post stem cell transplantation in sickle cell disease: case series and literature review.

Hussain A BinAmir, Ali AlAhmari, AlWaleed AlQahtani, Gamal Mohamed, Fawaz Alotaibi, Mohamed AlShamrani, Ali AlSaeed, Suwaidi AlGhanmi, Alaa Heji, Abdulrahman Alreshaid and 6 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

16 authors.

Hussain A BinAmirNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Ali AlAhmariHematology, Stem Cell Transplant and Cellular Therapy Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
AlWaleed AlQahtaniRadiology Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Gamal MohamedDepartment of Biostatistics, Epidemiology, and Scientific Computing, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Fawaz AlotaibiNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Mohamed AlShamraniNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Ali AlSaeedNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Suwaidi AlGhanmiNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Alaa HejiNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Abdulrahman AlreshaidNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Ammar AlKawiNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Adel AlHazzaniNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Mohamed AlZawahmahNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Ashfaq ShuaibDepartment of Medicine University of Alberta, Edmonton, AB, Canada.
Fahad Al-AjlanNeuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Fahad AlMoharebHematology, Stem Cell Transplant and Cellular Therapy Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Posterior reversible encephalopathy syndrome (PRES) is a serious neurological syndrome that may develop following immunosuppressive therapy for stem cell transplantation (SCT). We report 8 patients with sickle cell disease (SCD) who developed PRES, which is likely to be related to immunosuppression. Methods: This is retrospective cohort analysis of the SCD registry at the King Faisal Specialist Hospital and Research Center (KFSHRC) in Riyadh, Saudi Arabia. Inclusion criteria included all adults SCD patients who underwent SCT from 2011 until 2022. We explored all cases of PRES in patients with SCT. PRES was diagnosed with MRI imaging showing reversible vasogenic cerebral edema associated with neurological symptoms including severe headache, seizures, encephalopathy, delirium, and visual disturbances. Results: During ten years follow-up (2011-2022) we found 8 patients with PRES (age range between 14 to 37 years at diagnosis) PRES occurred 8 to 124 days following SCT in 7 cases and one patient developed PRES 8 months prior to SCT. All patients were on immunosuppressive medications, including tacrolimus, cyclosporine, sirolimus and or mycophenolate mofetil. Headache, seizures, visual hallucinations, confusion, and drowsiness were the most common presenting symptoms. MRI showed abnormalities in the occipital, parietal and frontal lobes in most cases. Recovery was complete in all patients and no recurrences were noted. Two patients had graft versus host disease (GVHD). We compared risk factors for PRES among the 8 cases and 136 SCT in SCD patients who did not develop PRES. There was a significant association between PRES and imaging abnormalities, including previous bi-hemispheric infarctions ( Conclusion: PRES can develop days to weeks following SCT in patients with SCD, and is associated with immunosuppressive therapy, previous bi-hemispheric infarctions and CMB. Prompt recognition and intervention leads to good recovery.

Indexed as

bi-hemispheric infarctionscerebral microbleedsposterior reversible encephalopathy syndromesickle cell diseasestem cell transplantation

Identifiers

PMID38751974
PMCPMC11094324

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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.