Evidence map›Paper›PMID 34825771›Full record

ArticleAnnals of clinical and translational neurology2021

COVID-19-associated immune-mediated encephalitis mimicking acute-onset Creutzfeldt-Jakob disease.

Simone Beretta, Andrea Stabile, Claudia Balducci, Jacopo C DiFrancesco, Adriana Patruno, Roberto Rona, Michela Bombino, Cristina Capraro, Francesca Andreetta, Paola Cavalcante and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Clinical features of COVID-19-related encephalitis: comparison with the features of herpes virus encephalitis and autoimmune encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  5. Prion Disease After COVID-19: A Case Report.The American journal of case reports · 2023
    Article
  6. Movement Disorders and SARS-CoV-2.Movement disorders clinical practice · 2023
    Article
  7. Opsoclonus Myoclonus Ataxia Syndrome Due to SARS-CoV-2.Neuro-ophthalmology (Aeolus Press) · 2023
    Review
  8. Article
  9. 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

15 authors at 2 institutions in 1 country.

Simone BerettaDepartment of Neurology, San Gerardo Hospital ASST Monza, Monza, Italy.ORCID 0000-0002-9417-2748
Andrea StabileDepartment of Neurology, San Gerardo Hospital ASST Monza, Monza, Italy.
Claudia BalducciDepartment of Neurology, San Gerardo Hospital ASST Monza, Monza, Italy.
Jacopo C DiFrancescoDepartment of Neurology, San Gerardo Hospital ASST Monza, Monza, Italy.ORCID 0000-0002-4102-1188
Adriana PatrunoDepartment of Intensive Care, San Gerardo Hospital ASST Monza, Monza, Italy.
Roberto RonaDepartment of Intensive Care, San Gerardo Hospital ASST Monza, Monza, Italy.
Michela BombinoDepartment of Intensive Care, San Gerardo Hospital ASST Monza, Monza, Italy.
Cristina CapraroDepartment of Neuroradiology, San Gerardo Hospital ASST Monza, Monza, Italy.
Francesca AndreettaDepartment of Neurology 4 - Neuroimmunology and Neuromuscular Diseases, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.
Paola CavalcanteDepartment of Neurology 4 - Neuroimmunology and Neuromuscular Diseases, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.
Fabio ModaDepartment of Neurology 5 - Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.
Giuseppe CiterioSchool of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy.
Giuseppe FotiSchool of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy.
Graziella BogliunDepartment of Neurology, San Gerardo Hospital ASST Monza, Monza, Italy.
Carlo FerrareseDepartment of Neurology, San Gerardo Hospital ASST Monza, Monza, Italy.
Azienda Ospedaliera San Gerardo · ITFondazione IRCCS Istituto Neurologico Carlo Besta · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a subtype of immune-mediated encephalitis associated with COVID-19, which closely mimics acute-onset sporadic Creutzfeldt-Jakob disease. A 64-year-old man presented with confusion, aphasia, myoclonus, and a silent interstitial pneumonia. He tested positive for SARS-CoV-2. Cognition and myoclonus rapidly deteriorated, EEG evolved to generalized periodic discharges and brain MRI showed multiple cortical DWI hyperintensities. CSF analysis was normal, except for a positive 14-3-3 protein. RT-QuIC analysis was negative. High levels of pro-inflammatory cytokines were present in the CSF and serum. Treatment with steroids and intravenous immunoglobulins produced EEG and clinical improvement, with a good neurological outcome at a 6-month follow-up.

Indexed as

COVID-19Creutzfeldt-Jakob SyndromeEncephalitisHumansMaleMiddle AgedSARS-CoV-2

Identifiers

PMID34825771
PMCPMC8670319
OpenAlexW3215788608

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.