Evidence map›Paper›PMID 33755344›Full record

ArticleAnnals of clinical and translational neurology2021

Persistent neurologic symptoms and cognitive dysfunction in non-hospitalized Covid-19 "long haulers".

Edith L Graham, Jeffrey R Clark, Zachary S Orban, Patrick H Lim, April L Szymanski, Carolyn Taylor, Rebecca M DiBiase, Dan Tong Jia, Roumen Balabanov, Sam U Ho and 3 more

5 registry-linked trialsAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 410 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
410citing papers in PubMed, 11 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.

NCT05303116 completednot on this mapstarted 2022, after this paper: background citation

COVID19 Effects on the Brain and Cerebral Function; Do Quantitative Measures of Brain Electrical Activity Along With Neurocognitive Assessments Correlate With Symptoms and Clinical Assessment?

TypeobservationalSponsorTexas Tech University Health Sciences Center, El PasoRan2022 to 2024Enrolled55ConditionsCOVID-19ArmsBrainscope modified EEG and cognitive testing
NCT05566379 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of a Mindfulness Intervention on Physical and Psychological Well-Being and Quality of Life in Patients With Post Acute Sequelae of SARS-CoV-2 Infection (PASC) Dysautonomia

TypeinterventionalSponsorUniversity of California, Los AngelesRan2023 to 2023Enrolled20ConditionsLong COVID, DysautonomiaArmsMindfulness - Mindful Awareness Practices ( MAPs)
NCT06042530 unknown statusnot on this map

Cognitive Impairment and Fatigue After Mild to Moderate COVID-19 - Relation to Biomarkers and Neuronal Network Functions

TypeobservationalSponsorDanderyd HospitalRan2021 to 2025Enrolled100ConditionsPost COVID-19 Condition, Cognitive Impairment, Fatigue, MentalArmsNeuropsychological investigation, Optometric investigation, Magnetic Resonance Imaging, Immunological biomarkers
NCT06156241 phase1unknown statusnot on this mapstarted 2024, after this paper: background citation

Long COVID: Cord Tissue-Derived Mesenchymal Stromal Cells for Persistent NeuroInflammatory Symptoms

TypeinterventionalSponsorCharles CoxRan2024 to 2026Enrolled12ConditionsPost-Acute COVID-19 SyndromeArmsStem Cell
NCT06940609 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Magnetic Resonance Analysis of Neural Inflammatory Factors and External Stimulation (MANIFEST)

TypeinterventionalSponsorUniversity of New MexicoRan2025 to 2029Enrolled60ConditionsLong COVID, Long COVID Syndrome, Long COVID-19 Syndrome, PASCArmsaccelerated intermittent theta burst stimulation
3 · Its place in the literature

Who cites it

410 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  6. Neurocognitive Impairment in Long COVID: A Systematic Review.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Pooled it
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  20. Neurodegenerative and Cognitive Consequences of Long COVID.International journal of molecular sciences · 2026
    Review

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

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.

Edith L GrahamDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-6862-5531
Jeffrey R ClarkDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-1214-3645
Zachary S OrbanDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Patrick H LimDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
April L SzymanskiDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Carolyn TaylorDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Rebecca M DiBiaseDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Dan Tong JiaDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Roumen BalabanovDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Sam U HoDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Ayush BatraDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Eric M LiottaDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Igor J KoralnikDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-6836-1468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMost SARS-CoV-2-infected individuals never require hospitalization. However, some develop prolonged symptoms. We sought to characterize the spectrum of neurologic manifestations in non-hospitalized Covid-19 "long haulers".

methodsThis is a prospective study of the first 100 consecutive patients (50 SARS-CoV-2 laboratory-positive (SARS-CoV-2

resultsMean age was 43.2 ± 11.3 years, 70% were female, and 48% were evaluated in televisits. The most frequent comorbidities were depression/anxiety (42%) and autoimmune disease (16%). The main neurologic manifestations were: "brain fog" (81%), headache (68%), numbness/tingling (60%), dysgeusia (59%), anosmia (55%), and myalgias (55%), with only anosmia being more frequent in SARS-CoV-2

interpretationNon-hospitalized Covid-19 "long haulers" experience prominent and persistent "brain fog" and fatigue that affect their cognition and quality of life.

Indexed as

AdultCognitive DysfunctionCOVID-19FatigueFemaleHeadacheHumansMaleMiddle AgedNervous System DiseasesPost-Acute COVID-19 SyndromeProspective StudiesTelemedicine

Identifiers

PMID33755344
PMCPMC8108421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.