Evidence map›Paper›PMID 42746056›Full record

ArticleFrontiers in immunology2026

Intrathecal IgG synthesis as a biomarker for CNS involvement in anti-GQ1b antibody syndrome: a case report and hypothesis-generating treatment framework.

Han Zhou, Xiuming Guo

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

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

2 authors.

Han ZhouDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xiuming GuoDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-GQ1b antibody syndromes span a clinical continuum from peripheral Guillain-Barré syndrome (GBS) to central Bickerstaff brainstem encephalitis (BBE), but reliable biomarkers of central nervous system (CNS) involvement that could guide treatment intensity are lacking. We report a 37-year-old woman with a relapsing GBS-Miller Fisher syndrome (MFS)-BBE overlap phenotype. In the first episode (March 2024), plasma exchange, intravenous methylprednisolone and IVIG were administered after anti-GD1a IgG was detected. After self-discontinuation of immunotherapy, she was readmitted in May 2024 with a two-month course of progressive weakness acutely worsened over four days, ophthalmoplegia, dysarthria, intermittent choking and bilateral extensor plantar responses. CSF showed albuminocytologic dissociation (protein 2.21 g/L; total cell count 40×10

Indexed as

AutoantibodiesEncephalitisGangliosidesGuillain-Barre SyndromeImmunoglobulin GMiller Fisher SyndromeAdultBiomarkersFemaleHumansImmunoglobulins, IntravenousMethylprednisolonePlasma ExchangeAutoantibodiesBiomarkersGangliosidesGQ1b gangliosideImmunoglobulin GImmunoglobulins, IntravenousMethylprednisoloneanti-GQ1b antibodyBickerstaff brainstem encephalitiscerebrospinal fluid biomarkersGuillain-Barré syndromeintrathecal IgG synthesisoligoclonal bands

Identifiers

PMID42746056
PMCPMC13575737

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.