Evidence map›Paper›PMID 39854764›Full record

ReviewMedicine2025

Pan-neurofascin autoimmune nodoparanodopathy: A case report and literature review.

Elsa Krim, Alexandre Masri, Emilien Delmont, Gwendal Le Masson, Joseph Boucraut, Stéphane Mathis

Abstract readCase ReportsReview
In one paragraph

Review in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Elsa KrimDepartment of Neurology, Pau Hospital, Pau, France.
Alexandre MasriDepartment of Reanimation, Pau Hospital, Pau, France.
Emilien DelmontDepartment of Neurology (Nerve-Muscle Unit), Reference Center for Neuromuscular Diseases, University Hospitals of Marseille, Marseille, France.
Gwendal Le MassonDepartment of Neurology (Nerve-Muscle Unit), Reference Center for Neuromuscular Diseases "AOC," ALS Reference Center, University Hospitals of Bordeaux (Pellegrin Hospital), University of Bordeaux, Bordeaux, France.
Joseph BoucrautDepartment of Immunology, INS Institut de Neurosciences des Systèmes - INSERM U 1106 (Physionet Team), University Hospitals of Marseille, Marseille, France.
Stéphane MathisDepartment of Neurology (Nerve-Muscle Unit), Reference Center for Neuromuscular Diseases "AOC," ALS Reference Center, University Hospitals of Bordeaux (Pellegrin Hospital), University of Bordeaux, Bordeaux, France.ORCID 0000-0003-0775-4625

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleLocked-in syndrome (and its variant, completely locked-in state) generally has a high mortality rate in the acute setting; however, when induced by conditions such as acute inflammatory polyradiculoneuropathy, it may well be curable such that an attempt at cure should be systematically sought by clinicians. PATIENT CONCERNS: A 52-year-old man presented with acute tetraparesia and areflexia, initially diagnosed as Guillain-Barré syndrome. Despite appropriate treatment, his condition deteriorated, evolving into a completely locked-in state. DIAGNOSES: The detection of anti-pan-neurofascin antibodies led to the correct diagnosis, acute pan-neurofascin autoimmune nodoparanodopathy.

interventionsImmunosuppressive treatment (rituximab) and plasma exchanges were performed. OUTCOMES: After several months, the patient's neurological symptoms almost completely subsided, without any major sequelae. LESSONS: In patients with locked-in syndrome (or its variant), neurologists and intensive care physicians must be aware of, and look for, the main etiologies (including pan-neurofascin autoimmune nodoparanodopathy), to allow the prompt initiation of treatment and thus a rapid recovery for these ultimately curable conditions. Despite causing major disability, pan-neurofascin autoimmune nodoparanodopathy is curable if the appropriate treatment is given.

Indexed as

Autoimmune DiseasesCell Adhesion MoleculesNerve Growth FactorsAutoantibodiesGuillain-Barre SyndromeHumansMaleMiddle AgedRituximabAutoantibodiesCell Adhesion MoleculesNerve Growth FactorsNFASC protein, humanRituximab

Identifiers

PMID39854764
PMCPMC11771591

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Registered trials

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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.