Evidence map›Paper›PMID 34093004›Full record

ReviewThe Egyptian journal of neurology, psychiatry and neurosurgery2021

Neurological manifestations and neuroimaging findings in patients with SARS-CoV2-a systematic review.

Nikita Mohan, Muhammad Ali Fayyaz, Christopher Del Rio, Navpreet Kaur Rajinder Singh Khurana, Sampada Sandip Vaidya, Esteban Salazar, John Joyce, Amrat Ayaz Ali

Open access · diamondAbstract readReview
In one paragraph

Review in The Egyptian journal of neurology, psychiatry and neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Clinical Variables Associated With Impaired Consciousness in Hospitalized COVID-19 Patients.Journal of community hospital internal medicine perspectives · 2024
    Article
  3. Article
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  5. Review
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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

8 authors at 7 institutions in 4 countries.

Nikita MohanJawaharlal Nehru Medical College, Belagavi, Karnataka India.
Muhammad Ali FayyazQuaid e Azam Medical College, Bahawalpur, Pakistan.
Christopher Del RioTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey Nuevo Leon, Mexico.
Navpreet Kaur Rajinder Singh KhuranaIndira Gandhi Government Medical College & Mayo Hospital, Nagpur, Maharashtra India.ORCID 0000-0001-9824-6890
Sampada Sandip VaidyaKazan State Medical University, Kazan, Russia.
Esteban SalazarTecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey Nuevo Leon, Mexico.
John JoyceM.S Ramaiah Medical College, Bangalore, Karnataka India.
Amrat Ayaz AliLiaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Tecnológico de Monterrey · MXBahawal Victoria Hospital · PKIndira Gandhi Government Medical College & Hospital · INJawaharlal Nehru Medical College · INKazan State Medical University · RULiaquat University of Medical & Health Sciences · PKM.S. Ramaiah Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has drastically affected everyone in a hit or miss manner. Since it began, evidence of the neuro-invasive potential of the virus has been intensifying significantly. Several pathways have been hypothesized to elucidate the neurotropic nature of SARS-CoV2. It is the need of the hour to collect vital information.

objectiveTo evaluate and correlate the neuro-radiological and neurological manifestations in patients diagnosed with SARS-CoV2.To identify neuro-invasive pathways of COVID infection.

methodsRelevant studies were identified through four databases-the Cochrane Library, PubMed, Science Direct, and Web of Science. These were searched using relevant keywords-"COVID-19," "SARS-CoV2," "neurological manifestations," "neuroimaging," "CT," and "MRI." Relevant articles were screened according to a pre-defined inclusion and exclusion criteria from December 2019 to August 2020.

resultsOur review included a total of 63 full text publications with 584 patients, composed mainly of observational studies, case reports, and case series. The most common neurological manifestations associated with COVID-19 were altered mental status, stroke, and paralysis. About 17.85% patients who underwent neuroimaging were found to be having ischemic changes suggestive of a stroke. This was followed by hemorrhagic changes as the second most common finding. The most commonly involved vessel was the Middle Cerebral Artery. Besides stroke, we found that SARS-CoV2 could be the cause for new-onset seizures, Guillain-Barre Syndrome, encephalitis, and many other severe neurological diseases.

conclusionThe information that we have obtained so far will prove dynamic to healthcare providers working against the COVID-19 pandemic. It is necessary to be aware of these atypical neurological findings for the early diagnosis and treatment of COVID-19 infected patients. However, to completely understand the connection between SARS-CoV2 and the nervous system, further research is necessary.

Indexed as

COVID-19NeuroimagingNeuro-invasiveSARS-CoV 2Stroke

Identifiers

PMID34093004
PMCPMC8170868
OpenAlexW3170634894

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.