Evidence map›Paper›PMID 33010584›Full record

ReviewMultiple sclerosis and related disorders2020

How does the COVID-19 cause seizure and epilepsy in patients? The potential mechanisms.

Farnaz Nikbakht, Ali Mohammadkhanizadeh, Ekram Mohammadi

Open access · bronzeAbstract readReview
In one paragraph

Review in Multiple sclerosis and related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
11.9field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 4 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. COVID-19 Infection, Drugs, and Liver Injury.Journal of clinical medicine · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. The Development of Epilepsy Following CNS Viral Infections: Mechanisms.Current neurology and neuroscience reports · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Use of chronic medications and risk of death due to COVID-19 in hospitalised patients.European journal of hospital pharmacy : science and practice · 2024
    Article
  17. Article
  18. COVID-19 andAntibiotics (Basel, Switzerland) · 2024
    Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Farnaz NikbakhtCellular and Molecular Research Center and Department of Physiology, School of Medicine Iran University of Medical Sciences, Tehran Iran.
Ali MohammadkhanizadehCellular and Molecular Research Center and Department of Physiology, School of Medicine Iran University of Medical Sciences, Tehran Iran. Electronic address: Ali_mohamadkhany@yahoo.com.
Ekram MohammadiCellular and Molecular Research Center and Department of Physiology, School of Medicine Iran University of Medical Sciences, Tehran Iran.
Iran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The new coronavirus has spread throughout the world in a very short time and now has become a pandemic. Most infected people have symptoms such as dry cough, dyspnea, tiredness, and fever. However, the Covid-19 infection disrupts various organs, including the liver, kidney, and nervous system. Common neurological symptoms of the Covid-19 infection include delirium, confusion, headache, and loss of sense of smell and taste. In rare cases it can cause stroke and epilepsy. The virus enters the nervous system either directly through nerve pathways or indirectly through the ACE2 receptor. The neurological symptoms of a Covid-19 infection in the brain are mainly due to either the entry of pro-inflammatory cytokines into the nervous system or the production of these cytokines by microglia and astrocytes. Pro-inflammatory cytokines can cause blood-brain barrier disruption, increase in glutamate and aspartate and reduce GABA levels, impairs the function of ion channels, and finally, high levels of cytokines can cause epilepsy. Understanding the potential mechanisms is necessary to gain better insight into COVID-19 induced seizure pathogenesis and to design the correct treatment strategies to achieve appropriate treatment for seizure and epilepsy.

Indexed as

COVID-19EpilepsyHeadacheHumansSARS-CoV-2SeizuresStrokeCovid-19EpilepsyPandemicSeizure

Identifiers

PMID33010584
PMCPMC7521932
OpenAlexW3088011349

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.