Evidence map›Paper›PMID 31984243›Full record

ReviewWellcome open research2019

Neurocognitive and functional impairment in adult and paediatric tuberculous meningitis.

Angharad G Davis, Sam Nightingale, Priscilla E Springer, Regan Solomons, Ana Arenivas, Robert J Wilkinson, Suzanne T Anderson, Felicia C Chow, Tuberculous Meningitis International Research Consortium

Open access · goldAbstract readReview
In one paragraph

Review in Wellcome open research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% of its field
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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Unmasking the cognitive burden of adult tuberculous meningitis: A systematic review and meta analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Randomized Clinical Trial of High-Dose Rifampicin With or Without Levofloxacin Versus Standard of Care for Pediatric Tuberculous Meningitis: The TBM-KIDS Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Trial
  5. Article
  6. Article
  7. Intrathecal Isoniazid and Dexamethasone Therapy May Improve Outcomes in Patients With Tuberculous Meningitis: A 2-Center Retrospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. An overview on central nervous system tuberculosis (CNS-TB) focusing on cognitive impairments.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Review
  12. Article
  13. Tuberculous Meningitis Across the Lifespan.The Journal of infectious diseases · 2025
    Review
  14. Article
  15. Perspectives from the 2IJTLD open · 2024
    Article
  16. Risk factors of poor developmental outcome in children with tuberculous meningitis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  17. Post-TB health and wellbeing.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  18. Cognitive Impairment in Tuberculous Meningitis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  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

9 authors at 5 institutions in 3 countries.

Angharad G DavisUniversity College London, Gower Street, London, WC1E 6BT, UK.ORCID https://orcid.org/0000-0001-8914-5094
Sam NightingaleHIV Mental Health Research Unit, University of Cape Town,, Observatory, 7925, South Africa.
Priscilla E SpringerDepartment of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-8882-5688
Regan SolomonsDepartment of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-5607-8443
Ana ArenivasThe Institute for Rehabilitation and Research Memorial Hermann, Department of Rehabilitation Psychology and Neuropsychology,, Houston, Texas, USA.
Robert J WilkinsonFrancis Crick Institute, Midland Road, London, NW1 1AT, UK.ORCID https://orcid.org/0000-0002-2753-1800
Suzanne T Anderson *MRC Clinical Trials Unit at UCL, University College London, London, WC1E 6BT, UK.
Felicia C Chow *Weill Institute of Neurosciences, Department of Neurology and Division of Infectious Diseases, University of California, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-9440-9349
Tuberculous Meningitis International Research Consortium
University of Cape Town · ZAWestern Cape Department of Health · ZAGuy's and St Thomas' NHS Foundation Trust · GBMemorial Hermann Institute for Rehabilitation and Research Foundation · USUniversity of California, San Francisco · US

Funding

Pharmacokinetics and tolerability of adjunctive linezolid for the treatment of tuberculous meningitisR21TW011035 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHOW, FELICIA C. · 2018 to 2019
$322k
FIC NIH HHS R21 TW011035Medical Research Council MR/R007942/1Wellcome Trust
6 · The paper itself

Abstract

In those who survive tuberculous meningitis (TBM), the long-term outcome is uncertain; individuals may suffer neurocognitive, functional and psychiatric impairment, which may significantly affect their ability to lead their lives as they did prior to their diagnosis of TBM. In children who survive, severe illness has occurred at a crucial timepoint in their development, which can lead to behavioural and cognitive delay. The extent and nature of this impairment is poorly understood, particularly in adults. This is in part due to a lack of observational studies in this area but also inconsistent inclusion of outcome measures which can quantify these deficits in clinical studies. This leads to a paucity of appropriate rehabilitative therapies available for these individuals and their caregivers, as well as burden at a socioeconomic level. In this review, we discuss what is known about neurocognitive impairment in TBM, draw on lessons learnt from other neurological infections and discuss currently available and emerging tools to evaluate function and cognition and their value in TBM. We make recommendations on which measures should be used at what timepoints to assess for impairment, with a view to optimising and standardising assessment of neurocognitive and functional impairment in TBM research.

Indexed as

FunctionalNeurobehaviouralNeurocognitiveNeurodevelopmentalPsychiatricTuberculous Meningitis

Identifiers

PMID31984243
PMCPMC6971841
OpenAlexW2989373501

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.