Evidence map›Paper›PMID 32682993›Full record

SynthesisBrain, behavior, and immunity2020

Brain abnormalities in COVID-19 acute/subacute phase: A rapid systematic review.

Anna Rita Egbert, Sadiye Cankurtaran, Stephen Karpiak

2 registry-linked trialsOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Brain, behavior, and immunity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
8.6field-weighted citation impact, top 2% 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.

NCT04745611 completednot on this map

Neurological and Neuropsychological Sequelae of COVID-19 Infection

Typeobservational_patient_registrySponsorMaastricht UniversityRan2020 to 2022Enrolled329ConditionsCOVID-19 InfectionArmsMRI, Neuropsychological assessment, Questionnaires Patient, Questionnaires Family
NCT05676047 nacompletednot on this mapstarted 2023, after this paper: background citation

Symptom-Targeted Rehabilitation for Cognitive Complaints in Long COVID (STAR-C3)

TypeinterventionalSponsorMcMaster UniversityRan2023 to 2025Enrolled100ConditionsLong COVIDArmsCognitive Rehabilitation, Education
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 121 citations in OpenAlex.

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  20. Neurologic and Neuromuscular Sequelae of COVID-19.Physical medicine and rehabilitation clinics of North America · 2023
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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

3 authors at 2 institutions in 2 countries.

Anna Rita EgbertACRIA Center on HIV and Aging at GMHC, New York, NY, USA. Electronic address: anna.r.egbert@gmail.com.
Sadiye CankurtaranFaculty of Psychology, University of Warsaw, Warsaw, Poland.
Stephen KarpiakACRIA Center on HIV and Aging at GMHC, New York, NY, USA.
Gay Men's Health Crisis · USUniversity of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review aimed to synthesize early data on typology and topography of brain abnormalities in adults with COVID-19 in acute/subacute phase.

methodsWe performed systematic literature search via PubMed, Google Scholar and ScienceDirect on articles published between January 1 and July 05, 2020, using the following strategy and key words: ((covid[Title/Abstract]) OR (sars-cov-2[Title/Abstract]) OR (coronavirus[Title/Abstract])) AND (brain[Title/Abstract]). A total of 286 non-duplicate matches were screened for original contributions reporting brain imaging data related to SARS-Cov-2 presentation in adults.

resultsThe selection criteria were met by 26 articles (including 21 case reports, and 5 cohort studies). The data analysis in a total of 361 patients revealed that brain abnormalities were noted in 124/361 (34%) reviewed cases. Neurologic symptoms were the primary reason for referral for neuroimaging across the studies. Modalities included CT (-angiogram, -perfusion, -venogram), EEG, MRI (-angiogram, functional), and PET. The most frequently reported brain abnormalities were brain white matter (WM) hyperintensities on MRI 66/124 (53% affected cases) and hypodensities on CT (additional 23% affected cases), followed by microhemorrhages, hemorrhages and infarcts, while other types were found in <5% affected cases. WM abnormalities were most frequently noted in bilateral anterior and posterior cerebral WM (50% affected cases).

conclusionAbout a third of acute/subacute COVID-19 patients referred for neuroimaging show brain abnormalities suggestive of COVID-19-related etiology. The predominant neuroimaging features were diffuse cerebral WM hypodensities / hyperintensities attributable to leukoencephalopathy, leukoaraiosis or rarefield WM.

Indexed as

Acute DiseaseBetacoronavirusBrainCerebral AngiographyCerebral HemorrhageCerebral InfarctionComputed Tomography AngiographyCoronavirus InfectionsCOVID-19ElectroencephalographyHumansLeukoaraiosisLeukoencephalopathiesMagnetic Resonance ImagingPandemicsPneumonia, ViralCNSCOVID-19InfectionLeukoaraiosisLeukoencephalopathyMicroangiopathyNeurologicSARS-Cov-2

Identifiers

PMID32682993
PMCPMC7366124
OpenAlexW3042968242

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.