Evidence map›Paper›PMID 34668122›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

The case of encephalitis in a COVID-19 pediatric patient.

Lidia Urso, Maria Grazia Distefano, Gaetano Cambula, Angela Irene Colomba, Domenico Nuzzo, Pasquale Picone, Daniela Giacomazza, Luigi Sicurella

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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 3 institutions in 2 countries.

Lidia UrsoDipartimento di Neurologia P.O. S. Antonio Abate, Azienda Sanitaria Provinciale di Trapani, Trapani, Italy.
Maria Grazia DistefanoDipartimento di Neurologia P.O. S. Antonio Abate, Azienda Sanitaria Provinciale di Trapani, Trapani, Italy.
Gaetano CambulaUnità Operativa Complessa Radiologia P.O.S. Antonio Abate, Azienda Sanitaria Provinciale di Trapani, Trapani, Italy. gaetanocambula@libero.it.
Angela Irene ColombaDipartimento di Neurologia P.O. S. Antonio Abate, Azienda Sanitaria Provinciale di Trapani, Trapani, Italy.
Domenico NuzzoConsiglio Nazionale delle Ricerche, Istituto per la Ricerca e l'Innovazione Biomedica (CNR-IRIB), Palermo, Italy. domenico.nuzzo@cnr.it.ORCID http://orcid.org/0000-0002-4325-417X
Pasquale PiconeConsiglio Nazionale delle Ricerche, Istituto per la Ricerca e l'Innovazione Biomedica (CNR-IRIB), Palermo, Italy.
Daniela GiacomazzaConsiglio Nazionale delle Ricerche, Istituto di Biofisica (CNR-IBF), Palermo, Italy.
Luigi SicurellaDipartimento di Neurologia P.O. S. Antonio Abate, Azienda Sanitaria Provinciale di Trapani, Trapani, Italy.
Institute for Biomedical Research and Innovation · ITInstituto di Biofisica · ESOspedale Sant Antonio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic, induced by the worldwide spreading of the SARS-CoV-2, is well known for its clinical picture consistent with respiratory symptoms. If pulmonary complications are the most common manifestation of the disease, neurological problems are also significantly present, with complications including acute cerebrovascular events, encephalitis, Guillain-Barré and Miller Fisher syndromes, acute necrotizing hemorrhagic encephalopathy and hemophagocytic lymphohistiocytosis. These medical signs can be considered direct effects of the virus on the nervous system, para-infectious or post-infectious immune-mediated diseases, and neurological complications of the systemic effects of the SARS-CoV-2. CASE: In the present article, the encephalitis case in a 5-year-old girl positive for COVID-19 admitted to the emergency department complaining of fever and swelling in the neck is described. At this time, her neurological examination was unremarkable. Over the next few days, the fever went down and she experienced acute behavioral changes, mild confusion, and drowsiness. The brain MRI and electroencephalography (EEG) showed CNS involvement, suggestive of encephalitis.

conclusionThe dramatic improvement of the symptoms after immunotherapy with corticosteroids reinforced the hypothesis of an immune-related mechanism.

Indexed as

COVID-19EncephalitisNervous System DiseasesChildChild, PreschoolFemaleHumansPandemicsSARS-CoV-2COVID-19EncephalitisNeurological manifestationsPediatric patientSARS-CoV-2

Identifiers

PMID34668122
PMCPMC8525855
OpenAlexW3207289741

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.