Evidence map›Paper›PMID 32740766›Full record

SynthesisJournal of neurology2021

Exploring the clinical association between neurological symptoms and COVID-19 pandemic outbreak: a systematic review of current literature.

Davide Tiziano Di Carlo, Nicola Montemurro, Giandomenico Petrella, Gabriele Siciliano, Roberto Ceravolo, Paolo Perrini

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–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

35 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. SARS-CoV-2's brain impact: revealing cortical and cerebellar differences via cluster analysis in COVID-19 recovered patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  5. Article
  6. Article
  7. SARS-CoV-2 infects aniScience · 2022
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Post COVID-19 cerebral venous sinus thrombosis; a case report.Annals of medicine and surgery (2012) · 2021
    Article
  16. Article
  17. Review
  18. COVID-19 versus SARS: A comparative review.Journal of infection and public health · 2021
    Review
  19. Review
  20. Cerebral venous sinus thrombosis in patients with COVID-19 infection.Interdisciplinary neurosurgery : Advanced techniques and case management · 2021
    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

6 authors.

Davide Tiziano Di CarloDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy.
Nicola MontemurroDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy.
Giandomenico PetrellaDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy.
Gabriele SicilianoDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Roberto CeravoloDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Paolo PerriniDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy. paolo.perrini@unipi.it.ORCID http://orcid.org/0000-0002-3251-6111

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectThe novel severe acute respiratory syndrome (SARS)-CoV-2 outbreak has been declared a pandemic in March, 2020. An increasing body of evidence suggests that patients with the coronavirus disease (COVID-19) might have a heterogeneous spectrum of neurological symptoms

methodsA systematic search of two databases was performed for studies published up to May 29th, 2020. PRISMA guidelines were followed.

resultsWe included 19 studies evaluating 12,157 patients with laboratory-confirmed COVID-19 infections. The median age of patients was 50.3 (IQR 11.9), and the rate of male patients was 50.6% (95% CI 49.2-51.6%). The most common reported comorbidities were hypertension and diabetes (31.1%, 95% CI 30-32.3% and 13.5%, 95% CI 12.3-14.8%, respectively). Headache was reported in 7.5% of patients (95% CI 6.6-8.4%), and dizziness in 6.1% (95% CI 5.1-7.1%). Hypo/anosmia, and gustatory dysfunction were reported in 46.8 and 52.3%, of patients, respectively. Symptoms related to muscular injury ranged between 15 and 30%. Three studies reported radiological confirmed acute cerebrovascular disease in 2% of patients (95% CI 1.6-2.4%).

conclusionsThese data support accumulating evidence that a significant proportion of patients with COVID-19 infection develop neurological manifestations, especially olfactory, and gustatory dysfunction. The pathophysiology of this association is under investigation and warrants additional studies, Physicians should be aware of this possible association because during the epidemic period of COVID-19, early recognition of neurologic manifestations otherwise not explained would raise the suspect of acute respiratory syndrome coronavirus 2 infection.

Indexed as

COVID-19HumansNervous System DiseasesPandemicsSARS-CoV-2United StatesCoronavirusCOVID-19Neurological symptomsSARS-CoV-2β-coronavirus

Identifiers

PMID32740766
PMCPMC7395578

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.