Evidence map›Paper›PMID 42746153›Full record

ArticleCureus2026

Acute Disseminated Encephalomyelitis Following Nivolumab Therapy for Hodgkin Lymphoma: A Case Report and Literature Review.

Amal Abudouleh, Malak Sondoqah, Areen Said

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

3 authors.

Amal AbudoulehCollege of Medicine, University of Sharjah, Sharjah, ARE.
Malak SondoqahCollege of Medicine, University of Sharjah, Sharjah, ARE.
Areen SaidDepartment of Neurology, American Hospital Dubai, Dubai, ARE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of immune checkpoint inhibitors (ICIs) such as nivolumab, a programmed death receptor-1 (PD-1) inhibitor, has transformed the management of numerous malignancies. However, they are associated with multiple immune-related adverse events (irAEs), including central nervous system (CNS) demyelination such as acute disseminated encephalomyelitis (ADEM). We report a case of ADEM following nivolumab monotherapy and review the literature on similar presentations. We present the case of a patient with Hodgkin lymphoma who presented with confusion, disorientation, and seizures following nivolumab therapy. Serial magnetic resonance imaging (MRI) revealed the development of multifocal white matter lesions suggestive of demyelination. The clinical picture, coupled with extensive investigations, led to a diagnosis of ADEM. The patient was managed with intravenous (IV) methylprednisolone, IV immunoglobulin (IVIG), and plasmapheresis and showed clinical improvement. A review of the literature yielded only a few examples of nivolumab monotherapy-induced autoimmune encephalitis and ADEM. The overlap in the clinical presentations of those neurological adverse events could make the diagnosis more challenging. ICIs are associated with several CNS irAEs, such as ADEM. This case highlights the need for high clinical vigilance for ADEM, an ICI-related CNS complication. Serial imaging and exclusion of alternative etiologies are essential for timely diagnosis and management. Patient outcomes may be improved by early detection and intervention.

Indexed as

acute disseminated encephalomyelitisautoimmune encephalitiscentral nervous system demyelinationhodgkin lymphomaimmune checkpoint inhibitorsneurological immune-related adverse eventsnivolumab

Identifiers

PMID42746153
PMCPMC13576015

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.