Evidence map›Paper›PMID 34230886›Full record

ReviewMovement disorders clinical practice2021

De Novo Movement Disorders and COVID-19: Exploring the Interface.

Ritwik Ghosh, Uttam Biswas, Dipayan Roy, Alak Pandit, Durjoy Lahiri, Biman Kanti Ray, Julián Benito-León

Open access · bronzeAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  12. Viruses, parkinsonism and Parkinson's disease: the past, present and future.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
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  17. Acute Hemichorea-Hemiballismus Following COVID-19 (AZD1222) Vaccination.Movement disorders : official journal of the Movement Disorder Society · 2021
    Article
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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

7 authors at 5 institutions in 2 countries.

Ritwik GhoshDepartment of General Medicine Burdwan Medical College & Hospital Burdwan India.
Uttam BiswasDepartment of General Medicine Burdwan Medical College & Hospital Burdwan India.
Dipayan RoyDepartment of Biochemistry All India Institute of Medical Sciences (AIIMS) Jodhpur India.
Alak PanditDepartment of Neuromedicine Bangur Institute of Neurosciences Kolkata India.
Durjoy LahiriDepartment of Neuromedicine Bangur Institute of Neurosciences Kolkata India.
Biman Kanti RayDepartment of Neuromedicine Bangur Institute of Neurosciences Kolkata India.
Julián Benito-LeónDepartment of Neurology University Hospital "12 de Octubre" Madrid Spain.
Burdwan Medical College & Hospital · INInstitute of Neurosciences Kolkata · INAll India Institute of Medical Sciences Jodhpur · INBangur Institute of Neurosciences · INResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neurological manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are being widely documented. However, movement disorders in the setting of 2019 coronavirus infectious disease (COVID-19) have been a strikingly less discussed topic. Objectives: To summarize available pieces of evidence documenting de novo movement disorders in COVID-19. Methods: We used the existing PRISMA consensus statement. Data were collected from PubMed, EMBASE, Web of Science, and Scopus databases up to the 29th January, 2021, using pre-specified searching strategies. Results: Twenty-two articles were selected for the qualitative synthesis. Among these, a total of 52 patients with de novo movement disorders were reported. Most of these had myoclonus, ataxia, tremor or a combination of these, while three had parkinsonism and one a functional disorder. In general, they were managed successfully by intravenous immunoglobulin or steroids. Some cases, primarily with myoclonus, could be ascribed to medication exposures, metabolic disturbances or severe hypoxia, meanwhile others to a post-or para-infectious immune-mediated mechanism. SARS-CoV-2 could also invade the central nervous system, through vascular or retrograde axonal pathways, and cause movement disorders by two primary mechanisms. Firstly, through the downregulation of angiotensin-converting enzyme 2 receptors, resulting in the imbalance of dopamine and norepinephrine; and secondly, the virus could cause cellular vacuolation, demyelination and gliosis, leading to encephalitis and associated movement disorders. Conclusion: De novo movement disorders are scantly reported in COVID-19. The links between SARS-CoV-2 and movement disorders are not yet established. However, we should closely monitor COVID-19 survivors for the possibility of post-COVID movement disorders.

Indexed as

ataxiaCOVID‐19myoclonusSARS‐CoV‐2tremor

Identifiers

PMID34230886
PMCPMC8250792
OpenAlexW3154185670

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.