Evidence map›Paper›PMID 40769894›Full record

ReviewInternal medicine (Tokyo, Japan)2026

Magnetic Resonance Imaging-negative Encephalomyeloradiculopathy Diagnosed by Anti-lactosylceramide Antibody Positivity and Electrophysiological Findings: A Case Report and Review of the Literature.

Hiroki Fujioka, Hisashi Takahashi, Kenta Ishii, Yuki Nishida, Takamasa Kitaoji, Eijirou Tanaka, Yuichi Noto, Takashi Kasai, Tatsuro Mutoh, Tomoyuki Ohara

Abstract readCase ReportsReview
In one paragraph

Review in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Hiroki FujiokaDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Hisashi TakahashiDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Kenta IshiiDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Yuki NishidaDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Takamasa KitaojiDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Eijirou TanakaDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Yuichi NotoDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Takashi KasaiDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.
Tatsuro MutohDepartment of Neurology, Fujita Health University School of Medicine, Japan.
Tomoyuki OharaDepartment of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 71-year-old woman developed progressive limb weakness and sensory disturbances below the thoracic level. Although myelopathy was initially considered, spinal magnetic resonance imaging (MRI) showed no abnormalities. Conversely, electrophysiological studies have identified both spinal dysfunction and radiculopathy, suggesting myeloradiculopathy. Initiation of steroid therapy resulted in immediate improvement of clinical symptoms and electrophysiological findings. Finally, anti-lactosylceramide (LacCer) antibodies were detected in the serum and cerebrospinal fluid, and titer changes correlated well with clinical improvement. This case suggests that electrophysiological studies and anti-LacCer antibodies are helpful in diagnosing and evaluating the therapeutic effects in cases of MRI-negative encephalomyeloradiculopathy.

Indexed as

AutoantibodiesLactosylceramidesMagnetic Resonance ImagingRadiculopathyAgedFemaleHumansAutoantibodiesLactosylceramidesanti-lactosylceramide antibodyelectrophysiological studiesencephalomyeloradiculoneuropathy

Identifiers

PMID40769894
PMCPMC13019002

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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.