Evidence map›Paper›PMID 33636661›Full record

Observational studyJournal of the neurological sciences2021

Neurological presentations of COVID-19: Findings from the Spanish Society of Neurology neuroCOVID-19 registry.

David García-Azorín, María José Abenza Abildúa, María Elena Erro Aguirre, Santiago Fernández Fernández, Juan Carlos García Moncó, Cristina Guijarro-Castro, Montserrat González Platas, Fernando Romero Delgado, José Miguel Láinez Andrés, David Ezpeleta and 1 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the neurological sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 6 pooled it
3.7field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Review
  8. Observational
  9. Review
  10. Article
  11. Review
  12. COVID-19-induced headache in Boston and the vicinity.Journal of clinical virology plus · 2023
    Article
  13. Neurological manifestation in COVID-19 disease with neuroimaging studies.American journal of neurodegenerative disease · 2023
    Review
  14. Article
  15. Seizures and COVID-19: Results from the Spanish Society of Neurology's COVID-19 registry.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Observational
  16. Article
  17. Review
  18. Review
  19. Central nervous system outcomes of COVID-19.Translational research : the journal of laboratory and clinical medicine · 2022
    Review
  20. 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

11 authors at 10 institutions in 1 country.

David García-AzorínHospital Clínico Universitario de Valladolid, Valladolid, Spain. Electronic address: dgazorin@ucm.es.
María José Abenza AbildúaHospital Universitario Infanta Sofía, Madrid, Spain.
María Elena Erro AguirreComplejo Hospitalario de Navarra, Navarra, Spain. Electronic address: elena.erro.aguirre@navarra.es.
Santiago Fernández FernándezHospital Plató, Barcelona, Spain. Electronic address: santiago.fernandez@hospitalplato.com.
Juan Carlos García MoncóHospital Universitario de Basurto, Bilbao, Spain. Electronic address: hospit05@sarenet.es.
Cristina Guijarro-CastroHospital Universitario HM Sanchinarro, Madrid, Spain. Electronic address: cristina.guijarro@sen.es.
Montserrat González PlatasHospital Universitario de Canarias, La Laguna, Tenerife, Spain.
Fernando Romero DelgadoHospital Universitario La Moraleja, Madrid, Spain; Hospital Universitario de Guadalajara, Guadalajara, Spain. Electronic address: fromerod@sanitas.es.
José Miguel Láinez AndrésHospital Clínico Universitario de Valencia, Valencia, Spain. Electronic address: miguel.lainez@sen.es.
David EzpeletaHospital Universitario Quirónsalud Madrid, Madrid, Spain.
Spanish neuroCOVID registry group
Hospital de Basurto · ESComplejo Hospitalario de Navarra · ESHospital Plató · ESHospital Universitario de Canarias · ESHospital Clínico Universitario de Valencia · ESHospital Universitario HM Sanchinarro · ESHospital Universitario Infanta Sofía · ESHospital Universitario Quirónsalud Madrid · ESHospital Clínico Universitario de Valladolid · ESHospital Universitario de Guadalajara · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe report the findings from the Spanish Society of Neurology's NeuroCOVID-19 Registry.

methodsWe performed a multicentre study of patients with neurological manifestations of COVID-19. Participating physicians reported demographic, clinical, and paraclinical data and judged the involvement of COVID-19 in causing neurological symptoms.

resultsA total of 233 cases were submitted, including 74 different combinations of manifestations. The most frequently reported were stroke (27%), neuromuscular symptoms (23.6%), altered mental status (23.6%), anosmia (17.6%), headache (12.9%), and seizures (11.6%). The mean age of patients was 61.1 years, with 42.1% being women; a higher proportion of women was recorded among patients with altered mental status, anosmia, and headache. The onset of symptoms differed within categories. Onset of anosmia occurred a mean (standard deviation) of 2.9 (2.5) days after the first general symptom, whereas neuromuscular symptoms appeared after 13.9 (10.1) days. Neurological symptoms were persistent in 33% of patients. General symptoms were present in 97.7% of patients, and results from general laboratory studies were abnormal in 99.4% of patients. Cerebrospinal fluid analysis findings were abnormal in 62.7% of the cases in which this test was performed (n = 51), but positive results for SARS-CoV-2 were only found in one case.

conclusionsThe neurological manifestations of COVID-19 are diverse. Anosmia, myalgia, and headache occur earlier in the course of the disease. Altered mental status, neuromuscular symptoms, and stroke are associated with greater severity. COVID-19 must be incorporated into most clinical and radiological differential diagnoses. COVID-19 may cause persistent and disabling neurological symptoms.

Indexed as

SARS-CoV-2AdultAgedAnosmiaCardiovascular DiseasesCausalityComorbidityCOVID-19COVID-19 TestingDiabetes MellitusFemaleHeadacheHumansMaleMental DisordersMiddle AgedCerebrospinal fluidCOVID-19DeliriumEpilepsyHeadache disordersStroke

Identifiers

PMID33636661
PMCPMC7749644
OpenAlexW3117821083

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.