Evidence map›Paper›PMID 40835473›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Amyloid Clearance and Transient CSF Aβ40 Reduction in a Case of ARIA-E/H Following Lecanemab Treatment.

Yuki Naeshiro, Fukiko Kitani-Morii, Takashi Kasai, Eijirou Tanaka, Fumiya Kobayashi, Tomoyuki Ohara

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Regulatory, clinical, and post-marketing challenges of lecanemab for Alzheimer's disease: insights from real-world data.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Diffusion weighted imaging abnormalities and cerebral ischemia in a cohort of patients on lecanemab.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. 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.

Yuki NaeshiroDepartment of Neurology, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Japan.
Fukiko Kitani-MoriiDepartment of Neurology, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Japan.
Takashi KasaiDepartment of Neurology, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Japan.
Eijirou TanakaDepartment of Neurology, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Japan.
Fumiya KobayashiDepartment of Neurology, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Japan.
Tomoyuki OharaDepartment of Neurology, Graduate School of Medicine, Kyoto Prefectural University of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We herein report a case of amyloid-related imaging abnormalities (ARIA)-E/H following lecanemab treatment in a 70-year-old man with mild cognitive impairment due to Alzheimer's disease. Generalized seizures occurred after the third infusion and were accompanied by fluid attenuated inversion recovery hyperintensity, microbleeds, and a minor acute infarct. Amyloid positron emission tomography revealed focal clearance of amyloid plaques in the ARIA-affected regions. CSF Aβ40 levels transiently decreased by about 30% during the ARIA episode, whereas Aβ42 remained stable, thereby increasing the Aβ42/40 ratio. These findings suggest that ARIA may facilitate focal amyloid clearance and that CSF Aβ40 reduction may serve as a potential biomarker for ARIA onset and resolution.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAntibodies, Monoclonal, HumanizedCognitive DysfunctionPeptide FragmentsAgedBiomarkersHumansMalePositron-Emission TomographyAmyloid beta-Peptidesamyloid beta-protein (1-40)Antibodies, Monoclonal, HumanizedBiomarkersPeptide FragmentsAlzheimer's diseaseamyloid PETamyloid-related imaging abnormalities (ARIA)CSF Aβlecanemab

Identifiers

PMID40835473
PMCPMC13106718

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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.