Evidence map›Paper›PMID 34181102›Full record

ReviewCurrent neurology and neuroscience reports2021

The Neurological Manifestations of Post-Acute Sequelae of SARS-CoV-2 infection.

Narges Moghimi, Mario Di Napoli, José Biller, James E Siegler, Rahul Shekhar, Louise D McCullough, Michelle S Harkins, Emily Hong, Danielle A Alaouieh, Gelsomina Mansueto and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Current neurology and neuroscience reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 3 pooled it
18.7field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 3 syntheses or guidelines pooled it, 195 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Neurodegenerative and Cognitive Consequences of Long COVID.International journal of molecular sciences · 2026
    Review
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Autonomic dysfunction and quality of life in a cohort of neurology outpatients with post-acute sequelae of COVID-19, a two-year follow-up study.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

58 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

11 authors at 6 institutions in 2 countries.

Narges MoghimiDepartment of Neurology, School of Medicine, 1 University of New Mexico, MSC10-5620, Albuquerque, NM, 87131, USA.
Mario Di NapoliNeurological Service, SS Annunziata Hospital, Sulmona, L'Aquila, Italy.
José BillerDepartment of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL, USA.
James E SieglerCooper Neurological Institute, Cooper University Health Care, Camden, NJ, 08103, USA.
Rahul ShekharDepartment of Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, USA.
Louise D McCulloughDepartment of Neurology, McGovern Medical School, University of Texas Health Sciences Center, Houston, Texas, USA.
Michelle S HarkinsDepartment of Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, USA.
Emily HongDepartment of Neurology, School of Medicine, 1 University of New Mexico, MSC10-5620, Albuquerque, NM, 87131, USA.
Danielle A AlaouiehDepartment of Neurology, School of Medicine, 1 University of New Mexico, MSC10-5620, Albuquerque, NM, 87131, USA.
Gelsomina MansuetoDepartment of Advanced Medical and Surgical Sciences, University of Campania, Naples, Italy.
Afshin A DivaniDepartment of Neurology, School of Medicine, 1 University of New Mexico, MSC10-5620, Albuquerque, NM, 87131, USA. adivani@gmail.com.
University of New Mexico · USCooper University Health Care · USLoyola University Chicago · USOspedale SS. Annunziata · ITThe University of Texas Health Science Center at Houston · USUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewCoronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a global health challenge. This review aims to summarize the incidence, risk factors, possible pathophysiology, and proposed management of neurological manifestations of post-acute sequelae of SARS-CoV-2 infection (PASC) or neuro-PASC based on the published literature. RECENT

findingsThe National Institutes of Health has noted that PASC is a multi-organ disorder ranging from mild symptoms to an incapacitating state that can last for weeks or longer following recovery from initial infection with SARS-CoV-2. Various pathophysiological mechanisms have been proposed as the culprit for the development of PASC. These include, but are not limited to, direct or indirect invasion of the virus into the brain, immune dysregulation, hormonal disturbances, elevated cytokine levels due to immune reaction leading to chronic inflammation, direct tissue damage to other organs, and persistent low-grade infection. A multidisciplinary approach for the treatment of neuro-PASC will be required to diagnose and address these symptoms. Tailored rehabilitation and novel cognitive therapy protocols are as important as pharmacological treatments to treat neuro-PASC effectively. With recognizing the growing numbers of COVID-19 patients suffering from neuro-PASC, there is an urgent need to identify affected individuals early to provide the most appropriate and efficient treatments. Awareness among the general population and health care professionals about PASC is rising, and more efforts are needed to understand and treat this new emerging challenge. In this review, we summarize the relevant scientific literature about neuro-PASC.

Indexed as

COVID-19SARS-CoV-2BrainHumansPost-Acute COVID-19 SyndromeUnited StatesChronic fatigue syndromeCOVID-19Long COVIDMyalgic encephalomyelitisPASCPost-Acute Sequelae of SARS-CoV-2 infectionPost-COVID syndromeSARS-CoV-2

Identifiers

PMID34181102
PMCPMC8237541
OpenAlexW3173710414

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.