Evidence map›Paper›PMID 35765956›Full record

ArticleActa bio-medica : Atenei Parmensis2022

Neurological disorders in COVID-19: a case of Acute Disseminated Encephalomyelitis in an adult patient.

Lorenzo Verriello, Sara Pez, Giada Pauletto, Serena D'Agostini, Annacarmen Nilo, Gian Luigi Gigli, Mariarosaria Valente

Abstract readCase Reports
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

7 authors.

Lorenzo VerrielloNeurology Unit, Department of Neurosciences, S. Maria della Misericordia University Hospital, Udine, Italy. lorenzo.verriello@asufc.sanita.fvg.it.
Sara PezClinical Neurology Unit, Department of Neurosciences, S. Maria della Misericordia University Hospital, Italy. sara.pez91@gmail.com.
Giada PaulettoNeurology Unit, Department of Neurosciences, S. Maria della Misericordia University Hospital, Udine, Italy. giada.pauletto@asufc.sanita.fvg.it.
Serena D'AgostiniNeuroradiology Unit, Department of Radiology, S. Maria della Misericordia University Hospital, Udine, Italy. serena.dagostini@asufc.sanita.fvg.it.
Annacarmen NiloClinical Neurology Unit, Department of Neurosciences, S. Maria della Misericordia University Hospital, Italy. annacarmen.nilo@gmail.com.
Gian Luigi GigliClinical Neurology Unit, Department of Neurosciences, S. Maria della Misericordia University Hospital, Italy. gianluigi.gigli@uniud.it.
Mariarosaria ValenteClinical Neurology Unit, Department of Neurosciences, S. Maria della Misericordia University Hospital, Italy. mariarosaria.valente@uniud.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Different neurological complications associated with the severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection have been widely documented. Acute disseminated encephalomyelitis (ADEM) is a rare immune-mediated demyelinating disorder, described within the spectrum of neurological manifestations of COVID-19. Herein, we describe a case of adult-ADEM presenting with diplopia and slowly progressive ataxia developed one month after SARS-CoV-2 infection. Brain magnetic resonance imaging (MRI) revealed acute multifocal demyelinating lesions throughout the brain. Other possible etiologies have been ruled out. After treatment with high-dose steroids, we observed a progressive clinical and radiological improvement. A 4-months follow-up showed complete clinical recovery. Although extremely rare, ADEM could be associated to SARS-CoV-2 infection and should be considered in the differential diagnosis. Early recognition of this COVID-19 neurological complication, even in the absence of pulmonary involvement, is important to start a prompt immune-modulatory treatment and, consequently, ensure a good outcome.

Indexed as

COVID-19Encephalomyelitis, Acute DisseminatedNervous System DiseasesAdultBrainHumansSARS-CoV-2

Identifiers

PMID35765956
PMCPMC10510960

What OpenQuestion holds

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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.