Evidence map›Paper›PMID 35447962›Full record

ArticleBrain sciences2022

Magnetic Resonance Imaging Confirmed Olfactory Bulb Reduction in Long COVID-19: Literature Review and Case Series.

Andrea Frosolini, Daniela Parrino, Cristoforo Fabbris, Francesco Fantin, Ingrid Inches, Sara Invitto, Giacomo Spinato, Cosimo De Filippis

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 35 citations in OpenAlex.

  1. Combination antiviral and anti-inflammatory therapy mitigates persistent neurological deficits in mice post SARS-CoV-2 infection.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The immunology of long COVID.Nature reviews. Immunology · 2023
    Review
  13. Review
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. 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

8 authors at 4 institutions in 1 country.

Andrea FrosoliniDepartment of Neuroscience DNS, University of Padova, 35100 Padova, Italy.ORCID 0000-0003-1347-4013
Daniela ParrinoDepartment of Otorhinolaryngology Head and Neck Surgery, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, 21100 Varese, Italy.ORCID 0000-0002-1841-4805
Cristoforo FabbrisOtolaryngology Unit, Treviso Hospital, 31100 Treviso, Italy.
Francesco FantinDepartment of Neuroscience DNS, University of Padova, 35100 Padova, Italy.
Ingrid InchesNeuroradiology Unit, Treviso Hospital, 31100 Treviso, Italy.
Sara InvittoINSPIRE Lab, Department of Biological and Environmental Science and Technologies, DiSTeBA, University of Salento, 73100 Lecce, Italy.ORCID 0000-0002-0841-7770
Giacomo SpinatoDepartment of Neuroscience DNS, University of Padova, 35100 Padova, Italy.
Cosimo De FilippisDepartment of Neuroscience DNS, University of Padova, 35100 Padova, Italy.
University of Padua · ITCa' Foncello Hospital · ITOspedale di Circolo e Fondazione Macchi · ITUniversity of Salento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An altered sense of smell and taste was recognized as one of the most characteristic symptoms of coronavirus infection disease (COVID-19). Despite most patients experiencing a complete functional resolution, there is a 21.3% prevalence of persistent alteration at 12 months after infection. To date, magnetic resonance imaging (MRI) findings in these patients have been variable and not clearly defined. We aimed to clarify radiological alterations of olfactory pathways in patients with long COVID-19 characterized by olfactory dysfunction. A comprehensive review of the English literature was performed by analyzing relevant papers about this topic. A case series was presented: all patients underwent complete otorhinolaryngology evaluation including the Sniffin' Sticks battery test. A previous diagnosis of SARS-CoV-2 infection was confirmed by positive swabs. The MRIs were acquired using a 3.0T MR scanner with a standardized protocol for olfactory tract analysis. Images were first analysed by a dedicated neuroradiologist and subsequently reviewed and compared with the previous available MRIs. The review of the literature retrieved 25 studies; most cases of olfactory dysfunction more than 3 months after SARS-CoV-2 infection showed olfactory bulb (OB) reduction. Patients in the personal case series had asymmetry and a reduction in the volume of the OB. This evidence was strengthened by the comparison with a previous MRI, where the OBs were normal. The results preliminarily confirmed OB reduction in cases of long COVID-19 with an altered sense of smell. Further studies are needed to clarify the epidemiology, pathophysiology and prognosis.

Indexed as

anosmiaclinical aspects of olfactionmagnetic resonance imagingmethodology for olfactory scienceolfactory bulbolfactory perception

Identifiers

PMID35447962
PMCPMC9029157
OpenAlexW4220880026

What OpenQuestion holds

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Registered trials

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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.