Evidence map›Paper›PMID 34872509›Full record

Observational studyBMC neurology2021

Meningitis, meningoencephalitis and encephalitis in Bern: an observational study of 258 patients.

Anamaria Ungureanu, Julia van der Meer, Antonela Bicvic, Lena Abbuehl, Gabriele Chiffi, Léonore Jaques, Franziska Suter-Riniker, Stephen L Leib, Claudio L A Bassetti, Anelia Dietmann

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Clinical Outcome Assessments in Encephalitis: A Systematic ReviewNeurology(R) neuroimmunology & neuroinflammation · 2024
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  16. 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
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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

10 authors at 1 institution in 1 country.

Anamaria UngureanuDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland.
Julia van der MeerDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland.
Antonela BicvicDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland.
Lena AbbuehlDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland.
Gabriele ChiffiInstitute for Infectious Disease, University of Bern, Bern, Switzerland.
Léonore JaquesDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland.
Franziska Suter-RinikerInstitute for Infectious Disease, University of Bern, Bern, Switzerland.
Stephen L LeibInstitute for Infectious Disease, University of Bern, Bern, Switzerland.
Claudio L A BassettiDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland.
Anelia DietmannDepartment of Neurology, University Hopsital and University of Bern, Inselspital, Bern, Switzerland. anelia.dietmann@gmail.com.ORCID http://orcid.org/0000-0002-8949-0645
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepending on geographic location, causes of encephalitis, meningoencephalitis and meningitis vary substantially. We aimed to identify the most frequent causes, clinical presentation and long-term outcome of encephalitis, meningoencephalitis and meningitis cases treated in the Inselspital University Hospital Bern, Switzerland.

methodsIn this monocentric, observational study, we performed a retrospective review of clinical patient records for all patients treated within a 3-year period. Patients were contacted for a telephone follow-up interview and to fill out questionnaires, especially related to disturbances of sleep and wakefulness.

resultsWe included 258 patients with the following conditions: encephalitis (18%), nonbacterial meningoencephalitis (42%), nonbacterial meningitis (27%) and bacterial meningoencephalitis/meningitis (13%). Herpes simplex virus (HSV) was the most common cause of encephalitis (18%); tick-borne encephalitis virus (TBEV) was the most common cause of nonbacterial meningoencephalitis (46%), enterovirus was the most common cause of nonbacterial meningitis (21%) and Streptococcus pneumoniae was the most common cause of bacterial meningoencephalitis/meningitis (49%). Overall, 35% patients remained without a known cause. After a median time of 16 months, 162 patients participated in the follow-up interview; 56% reported suffering from neurological long-term sequelae such as fatigue and/or excessive daytime sleepiness (34%), cognitive impairment and memory deficits (22%), headache (14%) and epileptic seizures (11%).

conclusionsIn the Bern region, Switzerland, TBEV was the overall most frequently detected infectious cause, with a clinical manifestation of meningoencephalitis in the majority of cases. Long-term neurological sequelae, most importantly cognitive impairment, fatigue and headache, were frequently self-reported not only in encephalitis and meningoencephalitis survivors but also in viral meningitis survivors up to 40 months after acute infection.

Indexed as

Communicable DiseasesEncephalitisMeningitis, BacterialMeningoencephalitisHumansRetrospective StudiesEncephalitisMeningitisMeningoencephalitisSleep-wake disturbancesTick-borne encephalitis

Identifiers

PMID34872509
PMCPMC8647376
OpenAlexW4226086951

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.