Evidence map›Paper›PMID 34009454›Full record

ReviewJournal of neurology2021

COVID-19 and neuroinflammation: a literature review of relevant neuroimaging and CSF markers in central nervous system inflammatory disorders from SARS-COV2.

Shitiz Sriwastava, Medha Tandon, Sanjiti Podury, Apoorv Prasad, Sijin Wen, Garret Guthrie, Mihir Kakara, Shruti Jaiswal, Roshan Subedi, Mahmoud Elkhooly and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Neurodegenerative and Cognitive Consequences of Long COVID.International journal of molecular sciences · 2026
    Review
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Demyelination in Patients with POST-COVID Depression.Journal of clinical medicine · 2024
    Article
  9. Opsoclonus-Myoclonus-Ataxia Syndrome Due to Covid-19.Cerebellum (London, England) · 2024
    Article
  10. Article
  11. Extracellular Vesicles: The Invisible Heroes and Villains of COVID-19 Central Neuropathology.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Issues related to post-COVID-19 syndrome.World journal of methodology · 2022
    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 6 institutions in 3 countries.

Shitiz SriwastavaDepartment of Neurology, Rockefeller Neuroscience Institute, West Virginia University School of Medicine, Morgantown, WV, 26506, USA. Shitiz.sriwastava@hsc.wvu.edu.ORCID http://orcid.org/0000-0001-6844-3287
Medha TandonDeaprtment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Sanjiti PoduryArmy College of Medical Sciences, New Delhi, India.
Apoorv PrasadDepartment of Neurology, Berkeley Medical Center, West Virginia University, Martinsburg, WV, USA.
Sijin WenDepartment of Biostatistics, West Virginia University, Morgantown, WV, USA.
Garret GuthrieDepartment of Biostatistics, West Virginia University, Morgantown, WV, USA.
Mihir KakaraDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Shruti JaiswalWest Virginia Clinical and Translational Science Institute, Morgantown, WV, USA.
Roshan SubediNepal Health Research Council, Kathmandu, Nepal.
Mahmoud ElkhoolyDepartment of Neuropsychiatry, Minia University, Minia, Egypt.
Robert P LisakDepartment of Neurology, Wayne State University, Detroit, MI, USA.
West Virginia University · USMinia University · EGNepal Health Research Council · NPUniversity of Pennsylvania · USUniversity of Pittsburgh Medical Center · USWayne State University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundThe literature on neurological manifestations in COVID-19 patients has been rapidly increasing with the pandemic. However, data on CNS inflammatory disorders in COVID-19 are still evolving. We performed a literature review of CNS inflammatory disorders associated with coronavirus disease-2019 (COVID-19).

methodsWe screened all articles resulting from a search of PubMed, Google Scholar and Scopus, using the keywords; "SARS-CoV-2 and neurological complication", "SARS-CoV-2 and CNS Complication" looking for reports of transverse myelitis, longitudinally extensive transverse myelitis, neuromyelitis optica, myelitis, Myelin Oligodendrocyte Glycoprotein Antibody Disorder (MOGAD), Acute Disseminated Encephalomyelitis (ADEM), Acute Hemorrhagic Necrotizing Encephalitis/Acute Hemorrhagic Leukoencephalitis (AHNE/AHLE), Cytotoxic lesion of the Corpus Callosum/Mild Encephalopathy Reversible Splenium Lesion(CLOCC/MERS) and Optic neuritis published between December 01, 2019 and March 15, 2021.

resultsOur literature search revealed 43 patients meeting the diagnosis of myelitis, including Transverse Myelitis, ADEM, AHNE/AHLE or CLOCC/MERS and Optic neuritis. Acute myelitis was most commonly associated with non-severe COVID-19 and all reported cases of AHNE/AHLE had severe COVID-19 infection. Based on IDSA/ATS criteria of either requiring vasopressor for septic shock or mechanical ventilation, 49% (n = 18) patients were considered to have a severe COVID infection. There were 7 (n = 19%) fatalities.

conclusionTo our knowledge, this is among the first reviews that includes the clinical features, neuroimaging, CSF findings and outcomes in COVID-19-associated CNS inflammatory disorders. Our observational review study reveals that although rare, myelitis, ADEM, AHNE and CLOCC can be associated with COVID-19 infection. Further studies using MRI imaging and CSF analysis in early diagnosis and intervention of these disorders are warranted.

Indexed as

COVID-19Myelitis, TransverseCentral Nervous System DiseasesHumansMyelin-Oligodendrocyte GlycoproteinNeuroimagingObservational Studies as TopicMyelin-Oligodendrocyte GlycoproteinADEMAHNECOVID-19MyelitisSARS-CoV-2

Identifiers

PMID34009454
PMCPMC8131883
OpenAlexW3163665450

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.