Evidence map›Paper›PMID 41190523›Full record

ArticleAnnals of clinical and translational neurology2026

Persistent Leukoencephalopathy Following H1N1 Infection Associated With a Novel MYRF Variant (p.Gly735Asp).

Jinghan Hu, Leiyun Huang, Wan Zhu, Min Peng, Qiang Gong, Jing Qian

Abstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2026. 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. Review
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.

Jinghan HuDepartment of Neurology, People's Hospital of Wenshan Prefecture, Affiliated Hospital, Kunming University of Science and Technology, Wenshan, Yunnan, China.ORCID 0009-0003-1943-6381
Leiyun HuangMedical College of Kunming University of Science and Technology, Kunming, Yunnan, China.
Wan ZhuDepartment of Neurology, People's Hospital of Wenshan Prefecture, Affiliated Hospital, Kunming University of Science and Technology, Wenshan, Yunnan, China.
Min PengDepartment of Neurology, People's Hospital of Wenshan Prefecture, Affiliated Hospital, Kunming University of Science and Technology, Wenshan, Yunnan, China.
Qiang GongThe State Key Laboratory of Neurology and Oncology Drug Development, Jiangsu Simcere Diagnostics Co. Ltd., Nanjing Simcere Medical Laboratory Science Co. Ltd., Nanjing, China.
Jing QianDepartment of Respiratory Medicine, The First People's Hospital of Yunnan Province/The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China.ORCID 0009-0008-2784-8147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in myelin regulatory factor (MYRF) are linked to demyelinating disorders. We report a 38-year-old male who developed acute symmetric leukoencephalopathy mimicking a stroke following an influenza A virus infection. While clinical symptoms markedly improved with corticosteroids, MRI revealed persistent white matter lesions, contrasting with the known phenotype of MYRF-related mild encephalopathy with reversible myelin vacuolization (MMERV). Genetic analysis identified a novel MYRF variant (c.2204G>A, p.Gly735Asp) in its C-terminal domain, with familial cosegregation confirming autosomal dominant inheritance. This case demonstrates that viral infections can trigger severe MYRF-related pathology and establishes persistent leukoencephalopathy as a novel clinical phenotype within the MYRF disease spectrum.

Indexed as

Influenza A Virus, H1N1 SubtypeInfluenza, HumanLeukoencephalopathiesAdultHumansMaleinfluenza A virusleukoencephalopathyMMERVMYRFstroke‐mimic encephalitis

Identifiers

PMID41190523
PMCPMC12883673

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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.