Evidence map›Paper›PMID 32210460›Full record

ArticlePloS one2020

Neuropsychological and psychiatric outcomes in encephalitis: A multi-centre case-control study.

Lara Harris, Julia Griem, Alison Gummery, Laura Marsh, Sylviane Defres, Maneesh Bhojak, Kumar Das, Ava Easton, Tom Solomon, Michael Kopelman and 1 more

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Outcome and Sequelae of Infectious Encephalitis.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
  12. Article
  13. Outcome and Sequelae of Autoimmune Encephalitis.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
  14. Article
  15. Review
  16. Review
  17. Fatigue in Survivors of Autoimmune Encephalitis.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Article
  18. MOG-IgG1 and co-existence of neuronal autoantibodies.Multiple sclerosis (Houndmills, Basingstoke, England) · 2021
    Article
  19. Observational
  20. Review
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

11 authors.

Lara HarrisInstitute of Psychiatry, Psychology and Neuroscience, King's College London (KCL), Camberwell, London, United Kingdom.
Julia GriemInstitute of Psychiatry, Psychology and Neuroscience, King's College London (KCL), Camberwell, London, United Kingdom.ORCID 0000-0002-1779-5255
Alison GummeryNational Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infections and Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Laura MarshInstitute of Psychiatry, Psychology and Neuroscience, King's College London (KCL), Camberwell, London, United Kingdom.
Sylviane DefresNational Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infections and Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Maneesh BhojakThe Walton Centre NHS Foundation Trust, Liverpool, United Kingdom.
Kumar DasThe Walton Centre NHS Foundation Trust, Liverpool, United Kingdom.
Ava EastonEncephalitis Society, Malton, United Kingdom.
Tom SolomonNational Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infections and Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom.
Michael KopelmanInstitute of Psychiatry, Psychology and Neuroscience, King's College London (KCL), Camberwell, London, United Kingdom.
ENCEPH UK study group

Funding

Department of Health 12/205/28Department of Health 17/63/110Department of Health IS-HPU-1112-10117Department of Health RP-PG-0108-10,048Department of Health RP-PG-0108-10048
6 · The paper itself

Abstract

objectivesOur aim was to compare neuropsychological and psychiatric outcomes across three encephalitis aetiological groups: Herpes simplex virus (HSV), other infections or autoimmune causes (Other), and encephalitis of unknown cause (Unknown).

methodsPatients recruited from NHS hospitals underwent neuropsychological and psychiatric assessment in the short-term (4 months post-discharge), medium-term (9-12 months after the first assessment), and long-term (>1-year). Healthy control subjects were recruited from the general population and completed the same assessments.

resultsPatients with HSV were most severely impaired on anterograde and retrograde memory tasks. In the short-term, they also showed executive, IQ, and naming deficits, which resolved in the long-term. Patients with Other or Unknown causes of encephalitis showed moderate memory impairments, but no significant impairment on executive tests. Memory impairment was associated with hippocampal/medial temporal damage on magnetic resonance imaging (MRI), and naming impairment with left temporal and left frontal abnormalities. Patients reported more subjective cognitive complaints than healthy controls, with tiredness a significant problem, and there were high rates of depression and anxiety in the HSV and the Other encephalitis groups. These subjective, self-reported complaints, depression, and anxiety persisted even after objectively measured neuropsychological performance had improved.

conclusionsNeuropsychological and psychiatric outcomes after encephalitis vary according to aetiology. Memory and naming are severely affected in HSV, and less so in other forms. Neuropsychological functioning improves over time, particularly in those with more severe short-term impairments, but subjective cognitive complaints, depression, and anxiety persist, and should be addressed in rehabilitation programmes.

Indexed as

Cognition DisordersCognitive DysfunctionDepressionEncephalitisFemaleHippocampusHumansMaleMemoryMemory DisordersMiddle AgedNeuropsychological TestsSimplexvirusVision, Ocular

Identifiers

PMID32210460
PMCPMC7094865

What OpenQuestion holds

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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.