Evidence map›Paper›PMID 34484895›Full record

ArticleNeurology. Clinical practice2021

Long-term Cognitive Outcomes in Tuberculous Meningitis.

Valakunja Harikrishna Ganaraja, Rajeshwaran Jamuna, Chandrashekhar Nagarathna, Jitender Saini, Manjunath Netravathi

Open access · hybridAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Unmasking the cognitive burden of adult tuberculous meningitis: A systematic review and meta analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Tuberculous Meningitis Across the Lifespan.The Journal of infectious diseases · 2025
    Review
  3. The brain pathobiome in Alzheimer's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  4. Hippocampal Metabolic Alterations and Cognitive Dysfunction in Varicella Zoster Virus Meningitis: A Single-Center Case Series Study.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  5. Post-TB health and wellbeing.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  6. Article
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

5 authors at 1 institution in 1 country.

Valakunja Harikrishna GanarajaDepartment of Neurology (VHG, MN), Department of Clinical Psychology (RJ), Department of Neuromicrobiology (CN), and Department of Neuroimaging and Interventional Neuroradiology (JS), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Rajeshwaran JamunaDepartment of Neurology (VHG, MN), Department of Clinical Psychology (RJ), Department of Neuromicrobiology (CN), and Department of Neuroimaging and Interventional Neuroradiology (JS), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Chandrashekhar NagarathnaDepartment of Neurology (VHG, MN), Department of Clinical Psychology (RJ), Department of Neuromicrobiology (CN), and Department of Neuroimaging and Interventional Neuroradiology (JS), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Jitender SainiDepartment of Neurology (VHG, MN), Department of Clinical Psychology (RJ), Department of Neuromicrobiology (CN), and Department of Neuroimaging and Interventional Neuroradiology (JS), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Manjunath NetravathiDepartment of Neurology (VHG, MN), Department of Clinical Psychology (RJ), Department of Neuromicrobiology (CN), and Department of Neuroimaging and Interventional Neuroradiology (JS), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.ORCID 0000-0002-8899-8578
National Institute of Mental Health and Neurosciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveData on cognitive changes in patients with tuberculous meningitis (TBM) are sparse. We aimed to study the cognitive profiles of patients with grade I TBM and correlate them with the cytokine values.

methodsProspectively, 60 patients (M:F-31:29) with grade I TBM were recruited. Clinical details were collected; CSF estimation of cytokines, neuropsychological assessment, and correlation were performed.

resultsMean age at presentation was 32.2 years (32.2 ± 10.1), and the duration of symptoms was 29.9 days (29.9 ± 25.9), respectively. Definitive evidence of mycobacterial infection was observed in 28.3% of the patients. Mean levels of tumor necrosis factor-α (TNF-α), interferon (IFN-γ), and interleukin-6 (IL-6) were 11.57 ± 30.35, 197.02 ± 186.64, and 127.03 ± 88.71 pg/mL, respectively. TNF-α levels were significantly elevated in definitive TBM (

conclusionsThere is subclinical evidence of cognitive impairment in patients with TBM, and this correlated with elevated cytokines. Both the frontal and temporal lobes showed varying degrees of cognitive impairment.

Identifiers

PMID34484895
PMCPMC8382353
OpenAlexW3085183646

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Registered trials

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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.