Evidence map›Paper›PMID 42682662›Full record

ArticleFrontiers in immunology2026

Case Report: Rare brainstem involvement in anti-metabotropic glutamate receptor 1 encephalitis.

Meijiao Hu, Heng Zhou, Xin Yi

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 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

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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

3 authors.

Meijiao HuDepartment of Neurology, People's Hospital of Xiangxi Tujia and Miao Autonomous Prefecture/The First Affiliated Hospital of Jishou University, Jishou, China.
Heng ZhouDepartment of Radiology, People's Hospital of Xiangxi Tujia and Miao Autonomous Prefecture/The First Affiliated Hospital of Jishou University, Jishou, China.
Xin YiDepartment of Neurology, People's Hospital of Xiangxi Tujia and Miao Autonomous Prefecture/The First Affiliated Hospital of Jishou University, Jishou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-metabotropic glutamate receptor 1 (mGluR1) encephalitis is a rare form of autoimmune encephalitis that typically presents with cerebellar dysfunction. Predominant brainstem involvement has seldom been reported. We report an 87-year-old man who presented with a subacute onset of fever, dysarthria, limb weakness, and altered mental status. Comprehensive diagnostic evaluation revealed anti-mGluR1 antibodies in both serum and cerebrospinal fluid using a cell-based assay, while cerebrospinal fluid next-generation sequencing (NGS) was negative for infectious pathogens. Brain MRI demonstrated extensive T2-weighted and fluid-attenuated inversion recovery (T2/FLAIR) hyperintensity involving the midbrain, pons, and medulla, without diffusion restriction. These findings support the possibility that anti-mGluR1 encephalitis may, in rare instances, present with predominant brainstem involvement. Testing for anti-mGluR1 antibodies may be considered in patients with otherwise unexplained subacute inflammatory brainstem syndromes.

Indexed as

AutoantibodiesBrain StemEncephalitisReceptors, Metabotropic GlutamateAged, 80 and overHumansMagnetic Resonance ImagingMaleAutoantibodiesmetabotropic glutamate receptor type 1Receptors, Metabotropic Glutamateanti-mGluR1 encephalitisautoantibodyautoimmune encephalitisbrainstem involvementcase report

Identifiers

PMID42682662
PMCPMC13529704

What OpenQuestion holds

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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.