Evidence map›Paper›PMID 34711233›Full record

SynthesisJournal of neuroinflammation2021

Molecular mimicry of NMDA receptors may contribute to neuropsychiatric symptoms in severe COVID-19 cases.

Veronika Vasilevska, Paul C Guest, Hans-Gert Bernstein, Matthias L Schroeter, Christian Geis, Johann Steiner

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  4. Pooled it
  5. Article
  6. Neurodegenerative and Cognitive Consequences of Long COVID.International journal of molecular sciences · 2026
    Review
  7. Article
  8. Article
  9. Article
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  12. Case Presentation of Autoimmune Septin-5 Cerebellar Ataxia.Movement disorders clinical practice · 2024
    Article
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  15. 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

6 authors at 5 institutions in 2 countries.

Veronika VasilevskaLaboratory of Translational Psychiatry, Department of Psychiatry and Psychotherapy, Otto-Von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
Paul C GuestLaboratory of Neuroproteomics, Department of Biochemistry and Tissue Biology, University of Campinas (UNICAMP), Campinas, Brazil.
Hans-Gert BernsteinLaboratory of Translational Psychiatry, Department of Psychiatry and Psychotherapy, Otto-Von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
Matthias L SchroeterDepartment of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Clinic for Cognitive Neurology, University Hospital Leipzig, Leipzig, Germany.
Christian GeisSection Translational Neuroimmunology, Department of Neurology, Jena University Hospital, Jena, Germany.
Johann SteinerLaboratory of Translational Psychiatry, Department of Psychiatry and Psychotherapy, Otto-Von-Guericke-University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. johann.steiner@med.ovgu.de.ORCID http://orcid.org/0000-0002-2611-2268
Otto-von-Guericke-Universität Magdeburg · DECenter for Behavioral Brain Sciences · DEJena University Hospital · DEUniversidade Estadual de Campinas (UNICAMP) · BRUniversity Hospital Leipzig · DE

Funding

bundesministerium für gesundheit ERA-NET grant no. 01EW2012
6 · The paper itself

Abstract

Approximately 30% of individuals with severe SARS-CoV-2 infections also develop neurological and psychiatric complaints. In rare cases, the occurrence of autoimmune encephalitis has been reported after SARS-CoV-2 infection. In this systematic review, we have identified eight SARS-CoV-2-associated cases of anti-NMDA receptor encephalitis. All had cerebrospinal fluid antibodies against the NMDA receptor and a recent onset of working memory deficits, altered mental status, or psychiatric symptoms, such as confusion, agitation, auditory hallucination, catatonia and speech dysfunction. All patients received high-dose steroid and immunoglobulin therapeutics and conditions improved in each case. These findings suggest that clinical attention should be paid to warning signs of autoimmune encephalitis in severe COVID-19 cases. If characteristic features of autoimmune encephalitis are present, autoantibody diagnostics should be performed and confirmed cases should be treated with immunotherapy to minimize neurological impairments.

Indexed as

AdolescentAdultAnti-N-Methyl-D-Aspartate Receptor EncephalitisAutoantibodiesChildCOVID-19FemaleHumansInfantMaleMental DisordersMiddle AgedMolecular MimicryReceptors, N-Methyl-D-AspartateSARS-CoV-2Young Adultanti-NMDA receptor autoantibodyAutoantibodiesReceptors, N-Methyl-D-AspartateAutoimmune encephalitisCorticosteroidCOVID-19Immunomodulatory agentInflammationNMDA receptorSARS-CoV-2

Identifiers

PMID34711233
PMCPMC8551937
OpenAlexW3209993959

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.