Evidence map›Paper›PMID 39715492›Full record

Observational studyNeurology(R) neuroimmunology & neuroinflammation2025

Long-Term Clinical and Biological Prognostic Factors of Anti-NMDA Receptor Encephalitis in Children.

Maxime Mazowiecki, Lorraine Flet-Berliac, Julia Roux, Anne Lépine, Pascale Chretien, Salima Hacein-Bey-Abina, Laetitia Giorgi, Frederic Villega, Emmanuel Cheuret, Marie Benaiteau and 14 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Neurology(R) neuroimmunology & neuroinflammation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Review
  7. Article
  8. Neuroglial markers of damage in autoimmune neurology.Therapeutic advances in neurological disorders · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
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

24 authors.

Maxime MazowieckiPediatric Neurology Departement, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University Hospitals, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.ORCID 0009-0009-7195-5078
Lorraine Flet-BerliacPediatric Neurology Departement, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University Hospitals, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.ORCID 0000-0001-5712-1231
Julia RouxPediatric Neurology Departement, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University Hospitals, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.ORCID 0009-0001-9400-0946
Anne LépinePediatric Neurology Department, Assistance Publique des Hôpitaux de Marseille, Hôpital Universitaire, Marseille.
Pascale ChretienClinical Immunology Laboratory, Assistance Publique des Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.ORCID 0000-0002-5792-5552
Salima Hacein-Bey-AbinaClinical Immunology Laboratory, Assistance Publique des Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.ORCID 0000-0001-6988-7832
Laetitia GiorgiPediatric Neurology Departement, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University Hospitals, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.
Frederic VillegaPediatric Neurology Department, CICp-1401, University Children Hospital, Bordeaux.ORCID 0000-0002-5423-3171
Emmanuel CheuretPediatric Neurology Department, Purpan University Hospital, Toulouse.ORCID 0000-0002-2105-2518
Marie BenaiteauReference Center on autoimmune encephalitis, Hospices Civils de Lyon, Institut MELIS, Inserm U1314/CNRS UMR 5284, Université Claude Bernard Lyon 1.ORCID 0009-0005-2347-6006
Veronique RogemondReference Center on autoimmune encephalitis, Hospices Civils de Lyon, Institut MELIS, Inserm U1314/CNRS UMR 5284, Université Claude Bernard Lyon 1.ORCID 0000-0003-2098-920X
Geraldine PicardReference Center on autoimmune encephalitis, Hospices Civils de Lyon, Institut MELIS, Inserm U1314/CNRS UMR 5284, Université Claude Bernard Lyon 1.ORCID 0000-0003-1282-267X
Sarah BaerDepartment of Neuropediatrics, ERN EpiCare, Hôpitaux Universitaires de Strasbourg.ORCID 0000-0003-4951-2552
Pierre CleuziouDepartment of Pediatric Neurology, Lille University Hospital.ORCID 0000-0001-5323-911X
Elodie LameteryPediatric Department, Grenoble Alpes University Hospital, Hôpital Albert Michallon.ORCID 0009-0001-0508-2688
Isabelle DesguerrePediatric Neurology Department Necker-Enfants Malades Hospital, University of Paris, AP-HP.ORCID 0000-0002-4074-5862
Mélodie AubartPediatric Neurology Department Necker-Enfants Malades Hospital, University of Paris, AP-HP.ORCID 0000-0002-4383-7930
Mathilde ChevignardRehabilitation Department for Children with Acquired Neurological Injury, Saint-Maurice Hospitals (M.C.); Saint Maurice Hospitals.ORCID 0000-0002-3533-3564
Roger Le GrandUniversité Paris-Saclay, CEA, INSERM Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT).
Philippe HorellouUniversité Paris-Saclay, CEA, INSERM Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT).ORCID 0000-0003-2467-8177
Carole LeroyUniversité Paris-Saclay, CEA, INSERM Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT).ORCID 0009-0005-8790-8875
Bastien JoubertReference Center on autoimmune encephalitis, Hospices Civils de Lyon, Institut MELIS, Inserm U1314/CNRS UMR 5284, Université Claude Bernard Lyon 1.ORCID 0000-0003-4631-3056
Jerome HonnoratReference Center on autoimmune encephalitis, Hospices Civils de Lyon, Institut MELIS, Inserm U1314/CNRS UMR 5284, Université Claude Bernard Lyon 1.ORCID 0000-0002-4721-5952
Kumaran DeivaPediatric Neurology Departement, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University Hospitals, Bicêtre Hospital, and Paris-Saclay University, Le Kremlin-Bicêtre.ORCID 0000-0002-8409-2365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAnti-NMDAR encephalitis (NMDARE) is a severe neurologic condition, and recently, the NMDAR Encephalitis One-Year Functional Status (NEOS) score has emerged as a 1-year prognostic tool. This study aimed to evaluate NEOS score and biomarker (neurofilament light chains [NfL], total-Tau protein, glial fibrillary acidic protein, and serum cytokines) correlation with modified Rankin Scale (mRS), cognitive impairment, and clinical recovery in pediatric NMDARE over 2 years.

methodsIn this French multicenter observational study, 104 pediatric patients with NMDARE were followed for a minimum of 2 years. Clinical data and serum/plasma samples were collected. Biomarker levels, measured using electroluminescence mesoscale discovery (MSD) S-PLEX, were compared between patients and controls and assessed for correlations with disease activity, mRS, cognitive/language impairment, and recovery status at 2 years.

resultsAt a median follow-up of 39.5 months, 68 percent of patients had unfavorable recovery and 54% had significant cognitive impairment. Both outcomes were strongly associated with younger age at diagnosis (OR 6.10 [1.91-27.3] DISCUSSION: The NEOS score strongly predicts long-term outcomes in NMDARE, with its predictive value extending beyond the first-year mR prediction. NfL levels at disease onset seem to improve accuracy in predicting poor outcomes, providing valuable information for treatment decisions and future clinical trials.

Indexed as

Anti-N-Methyl-D-Aspartate Receptor EncephalitisBiomarkersCognitive DysfunctionAdolescentChildChild, PreschoolCytokinesFemaleFollow-Up StudiesGlial Fibrillary Acidic ProteinHumansMaleNeurofilament ProteinsPrognosistau ProteinsBiomarkersCytokinesGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament Proteinstau Proteins

Identifiers

PMID39715492
PMCPMC12231184

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.