Evidence map›Paper›PMID 34792015›Full record

ReviewReviews on recent clinical trials2022

Viral Encephalitis in Adults: A Narrative Review.

Valentina Siciliano, Tommaso Rosà, Pierluigi Del Vecchio, Anna D'Angelillo, Mattia Brigida, Yaroslava Longhitano, Christian Zanza, Michele Cosimo Santoro, Marcello Candelli, Francesco Franceschi and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Reviews on recent clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Critical Care Pharmacology of Antiretroviral Therapy in Adults.European journal of drug metabolism and pharmacokinetics · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. The Route of Neuro-Critical Care.Reviews on recent clinical trials · 2022
    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

11 authors at 4 institutions in 1 country.

Valentina SicilianoDepartment of Laboratory and Infectious Diseases, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Tommaso RosàDepartment of Anesthesiology and Intensive Care Medicine, Catholic University of the Sacred Heart, Rome, Italy.
Pierluigi Del VecchioDepartment of Laboratory and Infectious Diseases, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Anna D'AngelilloDepartment of Laboratory and Infectious Diseases, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Mattia BrigidaDepartment of Systems Medicine, Unit of Gastroenterology, Tor Vergata University, Rome, Italy.
Yaroslava LonghitanoAzienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Department of Anesthesia and Critical Care, Alessandria, Italy.
Christian ZanzaAzienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Department of Anesthesia and Critical Care, Alessandria, Italy.
Michele Cosimo SantoroDepartment of Emergency Medicine, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Marcello CandelliDepartment of Emergency Medicine, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Francesco FranceschiDepartment of Emergency Medicine, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Andrea PiccioniDepartment of Emergency Medicine, University Polyclinic Foundation A. Gemelli IRCCS, Rome, Italy.
Agostino Gemelli University Polyclinic · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viral infections of the central nervous system cause frequent hospitalization. The pathogenesis of viral encephalitis involves both the direct action of invading pathogens and the damage generated by the inflammatory reaction they trigger. The type of signs and symptoms presented by the patient depends on the severity and location of the ongoing inflammatory process. Most of the viral encephalitides are characterized by an acute development, fever, variable alterations in consciousness (confusion, lethargy, even coma), seizures (focal and generalized) and focal neurologic signs. The specific diagnosis of encephalitis is usually based on lumbar puncture. Cerebrospinal fluid examination should be performed in all patients unless absolutely contraindicated. Also, electroencephalogram and neuroimaging play a prominent role in diagnosis. Airway protection, ventilatory support, the management of raised intracranial pressure and correction of electrolyte disorders must be immediately considered in a patient with altered mental status. The only therapy strictly recommended is acyclovir in HSV encephalitis. The use of adjunctive glucocorticoids has poor-quality evidence in HSV, EBV, or VZV encephalitis. The role of antiviral therapy in other types of viral encephalitis is not well defined.

Indexed as

Encephalitis, Herpes SimplexEncephalitis, ViralAdultHumansInflammationcentral nervous system viral infectioncerebrospinal fluidencephalitishaemophilus influenzaeherpesviridae infectionsViral infection

Identifiers

PMID34792015
OpenAlexW3212884488

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.