Evidence map›Paper›PMID 32561990›Full record

SynthesisJournal of neurology2020

Neurological involvement of coronavirus disease 2019: a systematic review.

Malik Ghannam, Qasem Alshaer, Mustafa Al-Chalabi, Lara Zakarna, Jetter Robertson, Georgios Manousakis

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing 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

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

  1. Pooled it
  2. Stroke in COVID-19: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2021
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Ischemic and Hemorrhagic Cerebrovascular Events Related to COVID-19 Coagulopathy and Hypoxemia.International journal of environmental research and public health · 2022
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. COVID-19-Associated Encephalopathy: Systematic Review of Case Reports.Journal of clinical neurology (Seoul, Korea) · 2022
    Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Malik GhannamDepartment of Neurology, University of Minnesota, 516 Delaware St. SE, Minneapolis, MN, USA. mghannam@umn.edu.
Qasem AlshaerDepartment of Neurology, Emory University, Atlanta, GA, USA.
Mustafa Al-ChalabiDepartment of Neurology, University of Toledo, Toledo, OH, USA.
Lara ZakarnaDepartment of Neuroscience, An-Najah National University, Nablus, Palestine.
Jetter RobertsonDepartment of Neurology, University of Minnesota, 516 Delaware St. SE, Minneapolis, MN, USA.
Georgios ManousakisDepartment of Neurology, University of Minnesota, 516 Delaware St. SE, Minneapolis, MN, USA. gmanousa@umn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn December 2019, unexplained cases of pneumonia emerged in Wuhan, China, which were found to be secondary to the novel coronavirus SARS-CoV-2. On March 11, 2020, the WHO declared the Coronavirus Disease 2019 (COVID-2019) outbreak, a pandemic.

objectiveTo clarify the neurological complications of SARS-CoV-2 infection including the potential mechanisms and therapeutic options.

methodsWe conducted a systematic literature search from December 01, 2019 to May 14, 2020 using multiple combinations of keywords from PubMed and Ovid Medline databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We included articles with cases of COVID-19 where neurological involvement was evident.

resultsWe were able to identify 82 cases of COVID-19 with neurological complications. The mean age was 62.3 years. 37.8% of the patients were women (n = 31). 48.8% of the patients (n = 40) had cerebrovascular insults, 28% (n = 23) had neuromuscular disorders, and 23% of the patients (n = 19) had encephalitis or encephalopathy.

conclusionsNeurological manifestations of COVID-19 are not rare, especially large vessel stroke, Guillain-Barre syndrome, and meningoencephalitis. Moving forward, further studies are needed to clarify the prevalence of the neurological complications of SARS-CoV-2 infection, investigate their biological backgrounds, and test treatment options. Physicians should be cautious not to overlook other neurological diagnoses that can mimic COVID-19 during the pandemic.

Indexed as

AdultAgedBetacoronavirusCoronavirus InfectionsCOVID-19FemaleHumansMaleMiddle AgedNervous System DiseasesPandemicsPneumonia, ViralPrevalenceSARS-CoV-2Neurological complicationsPandemicSARS-CoV-2

Identifiers

PMID32561990
PMCPMC7304377

What OpenQuestion 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 OpenQuestion graph.