Evidence map›Paper›PMID 32949985›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2020

Continuous electroencephalography characteristics and acute symptomatic seizures in COVID-19 patients.

Shreya Louis, Andrew Dhawan, Christopher Newey, Dileep Nair, Lara Jehi, Stephen Hantus, Vineet Punia

Open access · greenAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 7 pooled it
4.7field-weighted citation impact, top 4% 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, 7 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  18. Electroencephalography at the height of a pandemic: EEG findings in patients with COVID-19.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
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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

7 authors at 2 institutions in 1 country.

Shreya LouisCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland Clinic, OH, USA. Electronic address: louiss@ccf.org.
Andrew DhawanNeurological Institute, Cleveland Clinic, OH, USA.
Christopher NeweyEpilepsy Center, Cleveland Clinic, OH, USA; Cerebrovascular Center, Cleveland Clinic, OH, USA.
Dileep NairEpilepsy Center, Cleveland Clinic, OH, USA.
Lara JehiEpilepsy Center, Cleveland Clinic, OH, USA.
Stephen HantusEpilepsy Center, Cleveland Clinic, OH, USA.
Vineet PuniaEpilepsy Center, Cleveland Clinic, OH, USA.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · US

Funding

A Nomogram to Predict Seizure Outcomes After Resective Epilepsy SurgeryR01NS097719 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI JEHI, LARA · 2017 to 2021
$3.6M
NINDS NIH HHS R01 NS097719
6 · The paper itself

Abstract

objectiveAs concerns regarding neurological manifestations in COVID-19 (coronavirus disease 2019) patients increase, limited data exists on continuous electroencephalography (cEEG) findings in these patients. We present a retrospective cohort study of cEEG monitoring in COVID-19 patients to better explore this knowledge gap.

methodsAmong 22 COVID-19 patients, 19 underwent cEEGs, and 3 underwent routine EEGs (<1 h). Demographic and clinical variables, including comorbid conditions, discharge disposition, survival and cEEG findings, were collected.

resultscEEG was performed for evaluation of altered mental status (n = 17) or seizure-like events (n = 5). Five patients, including 2 with epilepsy, had epileptiform abnormalities on cEEG. Two patients had electrographic seizures without a prior epilepsy history. There were no acute neuroimaging findings. Periodic discharges were noted in one-third of patients and encephalopathic EEG findings were not associated with IV anesthetic use.

conclusionsInterictal epileptiform abnormalities in the absence of prior epilepsy history were rare. However, the discovery of asymptomatic seizures in two of twenty-two patients was higher than previously reported and is therefore of concern. SIGNIFICANCE: cEEG monitoring in COVID-19 patients may aid in better understanding an epileptogenic potential of SARS-CoV2 infection. Nevertheless, larger studies utilizing cEEG are required to better examine acute epileptic risk in COVID-19 patients.

Indexed as

AgedCoronavirus InfectionsCOVID-19ElectroencephalographyFemaleHumansMaleMiddle AgedNeurophysiological MonitoringPandemicsPneumonia, ViralSeizuresCOVID-19Critical illnessElectroencephalography (EEG)Seizures

Identifiers

PMID32949985
PMCPMC7448875
OpenAlexW3080802725

What OpenQuestion holds

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LicenceTDM
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.