Evidence map›Paper›PMID 33673559›Full record

ReviewBrain sciences2021

Presenting Psychiatric and Neurological Symptoms and Signs of Brain Tumors before Diagnosis: A Systematic Review.

Fatima Ghandour, Alessio Squassina, Racha Karaky, Mona Diab-Assaf, Paola Fadda, Claudia Pisanu

Abstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Why do patients with cancer die?Nature reviews. Cancer · 2024
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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

6 authors.

Fatima GhandourDepartment of Biomedical Sciences, Division of Neuroscience and Clinical pharmacology, University of Cagliari, 09042 Monserrato, Italy.
Alessio SquassinaDepartment of Biomedical Sciences, Division of Neuroscience and Clinical pharmacology, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0001-7415-7607
Racha KarakyDrug-Related Sciences Department, Faculty of Pharmacy, Lebanese University, Hadath 1500, Lebanon.
Mona Diab-AssafEDST, Pharmacology and Cancerology Laboratory, Faculty of Sciences, Lebanese University, Beirut 1500, Lebanon.
Paola FaddaDepartment of Biomedical Sciences, Division of Neuroscience and Clinical pharmacology, University of Cagliari, 09042 Monserrato, Italy.
Claudia PisanuDepartment of Biomedical Sciences, Division of Neuroscience and Clinical pharmacology, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0002-9151-4319

Funding

Department of Biomedical Sciences Project RICDIP_2012_Fratta_01Doctoral School of Sciences and Technology EDST, Lebanese University -FONDAZIONE BANCO DI SARDEGNA Prot.U1015.2014/AI.897Sardinian Regional Government P.O.R. Sardegna F.S.E. - Operational Programme of the Autonomous Region of Sardinia, European Social Fund 2014-2020
6 · The paper itself

Abstract

Brain tumors can present with various psychiatric symptoms, with or without neurological symptoms, an aspect that complicates the clinical picture. However, no systematic description of symptoms that should prompt a neurological investigation has been provided. This review aims to summarize available case reports describing patients with brain tumors showing psychiatric symptoms before brain tumor diagnosis, in order to provide a comprehensive description of these symptoms as well as their potential relationship with delay in the diagnosis. A systematic literature review on case reports of brain tumors and psychiatric symptoms from 1970 to 2020 was conducted on PubMed, Ovid, Psych Info, and MEDLINE. Exclusion criteria comprised tumors not included in the World Health Organization (WHO) Classification 4th edition and cases in which psychiatric symptoms were absent or followed the diagnosis. A total of 165 case reports were analyzed. In a subset of patients with brain tumors, psychiatric symptoms can be the only manifestation or precede focal neurological signs by months or even years. The appearance of focal or generalized neurological symptoms after, rather than along with, psychiatric symptoms was associated with a significant delay in the diagnosis in adults. A timely assessment of psychiatric symptoms might help to improve early diagnosis of brain tumors.

Indexed as

behaviorbrain tumorearly diagnosisintracranial tumorneuropsychiatry

Identifiers

PMID33673559
PMCPMC7997443

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.