Evidence map›Paper›PMID 33281325›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2020

Pathophysiological Mechanisms and Neurological Manifestations in COVID-19.

Kapil Gangadhar Zirpe, Subhal Dixit, Atul Prabhakar Kulkarni, Harsh Sapra, Gaurav Kakkar, Rahul Gupta, Atma Ram Bansal, Arun Garg, Santosh Kumar Dash, Anil Gurnani and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
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  9. Non-hypertension-associated Posterior Reversible Encephalopathy Syndrome in COVID-19.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  10. Article
  11. The case of encephalitis in a COVID-19 pediatric patient.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. Clinical Characteristics and Outcomes of Critically Ill Neurological Patients with COVID-19 Infection in Neuro-intensive Care Unit: A Retrospective Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  16. Article
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  19. [Revista espanola de medicina nuclear e imagen molecular
    Article
  20. Revista espanola de medicina nuclear e imagen molecular
    Review
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

13 authors at 7 institutions in 1 country.

Kapil Gangadhar ZirpeDepartment of Neuro Trauma Unit, Grant Medical Foundation, Pune, Maharashtra, India.
Subhal DixitDepartment of CCM, Sanjeevan and MJM Hospital, Pune, Maharashtra, India.
Atul Prabhakar KulkarniDepartment of Anesthesia, Critical Care and Pain, Division of Critical Care Medicine, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
Harsh SapraDepartment of Neurocritical Care, Medanta: The Medicity, Gurugram, Haryana, India.
Gaurav KakkarDepartment of Neuroanaesthesia and Neurocritical Care, Medanta: The Medicity, Gurugram, Haryana, India.
Rahul GuptaDepartment of Neuro and Spine Surgery, Fortis Hospital, Noida, Uttar Pradesh, India.
Atma Ram BansalDepartment of Neuro Sciences, Medanta: The Medicity, Gurugram, Haryana, India.
Arun GargDepartment of Neuro Sciences, Medanta: The Medicity, Gurugram, Haryana, India.
Santosh Kumar DashDepartment of Neurology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Anil GurnaniDepartment of Critical Care, Kailash Hospital, Noida, Uttar Pradesh, India.
Azizullah KhanDepartment of Critical Care, Prince Ali Khan Hospital, Mumbai, Maharashtra, India.
Khalid Ismail KhatibDepartment of Medicine, SKN Medical College, Pune, Maharashtra, India.
Pandurang Reddy MareDepartment of Neuro Surgery, PD Hinduja, Mumbai, Maharashtra, India.
Medanta The Medicity · INB. J. Medical College & Sassoon Hospital · INAll India Institute of Medical Sciences Bhubaneswar · INFortis Hospital · INHomi Bhabha National Institute · INP. D. Hinduja Hospital and Medical Research Centre · INPrince Aly Khan Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With increasing knowledge of the coronavirus disease-2019 (COVID-19), we now understand that COVID-19 presents with various extrapulmonary manifestations with multi-organ involvement. Involvement of the central nervous system (CNS) occurs probably via transsynaptic spread or transfer across the blood-brain barrier. Hypoxia, immune-mediated injury, and vascular damage are the potential mechanisms for the CNS manifestations. Headache, dizziness, chemosensory disturbances, such as loss of smell, taste, encephalopathy, stroke, etc., are among the commonly encountered neurological presentations. Headache is identified as one of the red flag symptoms for COVID-19. Sudden onset of loss of smell and/or taste in the absence of nasal congestion can help in COVID-19 case identification and testing prioritization. Both hemorrhagic and ischemic brain injury is common in patients developing stroke. Besides these, COVID-19-associated CNS involvement demands more careful attention toward patients with existing neurological disorders especially that are managed with immunosuppressant agents. In all, neurological involvement in COVID-19 is not uncommon and may precede, occur concomitantly or after the respiratory involvement. It may also be the sole presentation in some of the patients necessitating high vigilance for COVID-19. In this review, we briefly discussed the pathogenesis of CNS involvement and some important neurological manifestations in COVID-19.

Indexed as

AnosmiaCentral nervous systemCOVID-19EncephalopathyHeadacheStroke

Identifiers

PMID33281325
PMCPMC7689109
OpenAlexW3095464193

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.