Evidence map›Paper›PMID 42473671›Full record

ArticleiScience2026

Immune context and treatment timing associated with seizure freedom after rituximab in autoimmune limbic encephalitis.

Andre Dik, Nils Landmeyer, Noëmi Gmahl, Laura Bierhansl, Rakshit Dadarwal, Alina Kosfeld, Matthias Pawlowski, Tobias Brix, Catharina C Gross, Gerd Meyer Zu Hörste and 5 more

Abstract read
In one paragraph

Article in iScience, 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

15 authors.

Andre DikDepartment of Neurology, University Hospital Münster, Münster, Germany.
Nils LandmeyerDepartment of Neurology, University Hospital Münster, Münster, Germany.
Noëmi GmahlDepartment of Neurology, University Hospital Münster, Münster, Germany.
Laura BierhanslDepartment of Neurology, University Hospital Münster, Münster, Germany.
Rakshit DadarwalDepartment of Neurology, University Hospital Münster, Münster, Germany.
Alina KosfeldDepartment of Neurology, University Hospital Münster, Münster, Germany.
Matthias PawlowskiDepartment of Neurology, University Hospital Münster, Münster, Germany.
Tobias BrixDepartment of Neurology, University Hospital Münster, Münster, Germany.
Catharina C GrossDepartment of Neurology, University Hospital Münster, Münster, Germany.
Gerd Meyer Zu HörsteDepartment of Neurology, University Hospital Münster, Münster, Germany.
Heinz WiendlDepartment of Neurology, University Hospital Freiburg, Freiburg, Germany.
Antje BischofDepartment of Neurology, University Hospital Münster, Münster, Germany.
Christian ElgerDepartment of Neurology, University Hospital Münster, Münster, Germany.
Sven G MeuthDepartment of Neurology, University Hospital Münster, Münster, Germany.
Stjepana KovacDepartment of Neurology, University Hospital Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seizure freedom represents a clinically meaningful outcome in autoimmune limbic encephalitis (ALE). Rituximab (RTX) is commonly used, but the factors associated with seizure outcomes remain unclear. We conducted a retrospective single-center cohort study including 107 adults with ALE and seizures treated between 2005 and 2024. Patients were stratified by RTX treatment, treatment timing, cerebrospinal fluid (CSF) findings, and seizure outcome. The primary endpoint was seizure freedom for ≥12 months. Overall, 72/107 patients (70.6%) achieved seizure freedom, including 18 RTX-treated patients. Earlier RTX initiation (< 12 months) was numerically associated with higher seizure freedom rates than later treatment (77.8% vs. 37.5%). In RTX-treated patients, positive CSF immune findings were associated with seizure freedom (100% vs. 62.5%). Combining early RTX initiation and positive CSF findings was associated with increased odds of seizure freedom. In multivariable analysis, RTX treatment was not independently associated with seizure freedom. These exploratory findings require prospective validation.

Indexed as

antibody-associated encephalitisautoimmune-associated epilepsyautoimmune limbic encephalitisB-cell-mediated inflammationcerebrospinal fluid biomarkersclinical outcome measuresimmunotherapy timingrituximabseizure freedomtreatment response predictors

Identifiers

PMID42473671
PMCPMC13380735

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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.