Evidence map›Paper›PMID 41767003›Full record

ArticleFrontiers in neurology2026

The temporal sequence of myasthenia gravis and neuromyelitis optica spectrum disorder: a case report and systematic review of 74 patients.

Zhenyu Niu, Yi Bao, Lanqiu Yao, Jingru Ren, Jianchun Wang, Jing Guo, Nan Zhang, Feng Gao, Hongjun Hao, Siwei Chen and 1 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Zhenyu Niu *Department of Neurology, Peking University First Hospital, Beijing, China.
Yi Bao *Department of Neurology, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Lanqiu YaoDepartment of Population Health, New York University, New York, NY, United States.
Jingru RenDepartment of Neurology, Peking University First Hospital, Beijing, China.
Jianchun WangDepartment of Neurology, Peking University First Hospital, Beijing, China.
Jing GuoDepartment of Neurology, Peking University First Hospital, Beijing, China.
Nan ZhangDepartment of Neurology, Peking University First Hospital, Beijing, China.
Feng GaoDepartment of Neurology, Peking University First Hospital, Beijing, China.
Hongjun HaoDepartment of Neurology, Peking University First Hospital, Beijing, China.
Siwei ChenDepartment of Neurology, Peking University First Hospital, Beijing, China.
Ran LiuDepartment of Neurology, Peking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The co-occurrence of myasthenia gravis (MG) and neuromyelitis optica spectrum disorder (NMOSD) is rare, and their temporal sequence and shared pathogenesis remain poorly understood. Methods: We present the case of a 43-year-old woman with pre-existing acetylcholine receptor antibody (AChR-Ab) positive ocular MG who developed aquaporin-4 antibody (AQP4-Ab) positive NMOSD. Additionally, we conducted a systematic literature review up to July 2024 to identify similar cases. Results: Including the present case, 74 patients were analyzed. The cohort showed a marked female predominance (89.2%). MG onset significantly preceded NMOSD onset in most patients (93.2%), with a younger mean age at onset (28.19 vs. 41.02 years, Conclusion: This study suggests a consistent temporal pattern wherein MG predominantly precedes NMOSD, often by years, suggesting a possible shared autoimmune predisposition. The observed response to eculizumab highlights complement pathway inhibition as a potentially effective therapeutic strategy for this complex overlap syndrome, warranting further investigation.

Indexed as

acetylcholine receptor antibodyaquaporin 4eculizumabmyasthenia gravisneuromyelitis optica spectrum disorder

Identifiers

PMID41767003
PMCPMC12945749

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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 Socratic graph.