Evidence map›Paper›PMID 40935848›Full record

ReviewNature reviews. Disease primers2025

Autoimmune encephalitis.

Marienke A A M de Bruijn, Frank Leypoldt, Josep Dalmau, Soon-Tae Lee, Jerome Honnorat, Stacey L Clardy, Sarosh R Irani, Ava Easton, Amy Kunchok, Maarten J Titulaer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
  2. Review
  3. Bipolar disorder in oncology: Considerations for the psychiatrist.Journal of mood and anxiety disorders · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Journal of neurology · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Multimodal temporal dissociation in anti-GABAFrontiers in immunology · 2026
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

10 authors.

Marienke A A M de BruijnDepartment of Neurology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Frank LeypoldtNeuroimmunology, Institute of Clinical Chemistry, University Hospital Schleswig-Holstein Kiel, Kiel, Germany.ORCID http://orcid.org/0000-0002-8972-515X
Josep DalmauInstitut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.ORCID http://orcid.org/0000-0001-5856-2813
Soon-Tae LeeDepartment of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.ORCID http://orcid.org/0000-0003-4767-7564
Jerome HonnoratFrench Reference Centre for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314, Université Claude Bernard Lyon 1, Lyon, France.ORCID http://orcid.org/0000-0002-4721-5952
Stacey L ClardyDepartment of Neurology, University of Utah, Salt Lake City, UT, USA.
Sarosh R IraniDepartments of Neurology and Neurosciences, Mayo Clinic, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0002-7667-9748
Ava EastonDepartment of Clinical Infection, Microbiology and Immunology, University of Liverpool, Liverpool, UK.ORCID http://orcid.org/0000-0002-1739-2915
Amy KunchokMellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic Foundation, Cleveland, OH, USA.
Maarten J TitulaerDepartment of Neurology, Erasmus University Medical Center, Rotterdam, The Netherlands. m.titulaer@erasmusmc.nl.ORCID http://orcid.org/0000-0002-1033-3840

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune encephalitis (AE) is a treatable neuro-inflammatory disorder that is increasing in incidence. AE can be associated with malignancy (paraneoplastic), but in many patients no tumour is present. The disease presentation of AE can be heterogeneous depending on the type of antibody involved. AE is often caused by neuronal antibodies that bind to extracellular autoantigens (that is, N-methyl-D-aspartate receptor (NMDAR) and LGI1). Binding of these antibodies causes dysfunction of synaptic receptors, which leads to neurological symptoms. In these patients, treatment with immunosuppressive therapies is believed to decrease inflammation and deplete antibodies, and is essential for recovery. AE can also occur in patients with antibodies against intracellular antigens (such as Hu and Ri), often in the setting of malignancy. In these patients, tumour treatment is essential for stabilization or improvement. The most frequent symptoms of AE are cognitive problems, behavioural changes and seizures. Rapid recognition of AE syndromes is essential as earlier treatment of AE leads to better outcomes. For a definite diagnosis, the identification of an autoantibody is essential; however, some patients have seronegative AE. Most patients are severely affected during the acute disease stage, but long-term functional recovery is often good, particularly for patients without cancer. Nevertheless, residual anxiety, fatigue and cognitive problems can considerably affect quality of life. Research focuses on improving the understanding of pathophysiological processes, establishing patient-tailored outcome measures, optimizing treatment prediction models and studying different therapeutic regimens, all aiming to improve treatment and long-term outcomes.

Indexed as

Autoimmune DiseasesEncephalitisHashimoto DiseaseAutoantibodiesHumansReceptors, N-Methyl-D-AspartateAutoantibodiesReceptors, N-Methyl-D-Aspartate

Identifiers

What Socratic holds

Textmetadata
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.