Evidence map›Paper›PMID 36831898›Full record

ArticleBrain sciences2023

Neurological Manifestations of Non-Severe COVID-19-A Multidirectional Approach.

Jakub Udzik, Anna Kowalczyk, Aleksandra Waszczyk, Zuzanna Nowaczyk, Andrzej Barczyszyn, Karolina Działa, Maciej Mularczyk, Małgorzata Niekrasz

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 1 country.

Jakub UdzikDepartment of Physiology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0002-7881-6072
Anna KowalczykDepartment of Neurology and Cerebral Stroke, Samodzielny Publiczny Wojewódzki Szpital Zespolony, 71-455 Szczecin, Poland.
Aleksandra WaszczykDepartment of Infectious Diseases, Hepatology and Liver Transplantation, Pomeranian Medical University, 71-455 Szczecin, Poland.
Zuzanna NowaczykNeurosurgery Department, Independent Public Clinical Hospital Nr. 1, Pomeranian Medical University, 71-252 Szczecin, Poland.
Andrzej BarczyszynDepartment of Radiology and Diagnostic Imaging, Samodzielny Publiczny Wojewódzki Szpital Zespolony, 71-455 Szczecin, Poland.
Karolina DziałaDepartment of Radiology and Diagnostic Imaging, Samodzielny Publiczny Wojewódzki Szpital Zespolony, 71-455 Szczecin, Poland.
Maciej MularczykDepartment of Anatomy, Pomeranian Medical University, 70-111 Szczecin, Poland.
Małgorzata NiekraszDepartment of Neurology and Cerebral Stroke, Samodzielny Publiczny Wojewódzki Szpital Zespolony, 71-455 Szczecin, Poland.
Pomeranian Medical University · PLSamodzielny Publiczny Wojewódzki Szpital Zespolony im. Marii Skłodowskiej – Curie · PLWojewódzki Szpital Zespolony · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 remains a significant clinical issue worldwide, with frequent neurological manifestations. In this study, the authors combine data obtained from the patient's medical history, physical examinations, and additional test results in the pursuit of any clinically relevant connections. Fifty-eight adult patients hospitalized in the Department of Neurology and Infectiology over a five-months period were retrospectively enrolled in this study. On admission, all patients included in this study were classified as mild or moderate COVID-19 cases, according to the World Health Organization (WHO) guidelines. Laboratory tests, Electroencephalography (EEG), and Magnetic Resonance Imaging (MRI) were performed. There was no statistically significant difference in the Neutrophil-Lymphocyte Ratio (NLR), C-reactive protein (CRP), and Interleukin 6 (IL-6) in patients who reported to the hospital within a week from the symptoms' onset and in those who reported later. In total, 49.06% of patients with eligible EEG recordings presented abnormal brain activity, while 27.59% of the study population had COVID-19-associated MRI findings. EEG and MRI abnormality occurrence did not correlate with the incidence of mild neurological symptoms (headache, olfactory, and gustatory disorders) of the SARS-CoV-2 infection. In three patients in this study population, unprovoked generalized epileptic seizures occurred for the first time in their life. Non-severe SARS-CoV-2 infection causes functional and structural abnormalities within the central nervous system. Brain microhemorrhages are frequently present in non-severe COVID-19 patients. There is no significant association between mild neurological symptoms of COVID-19 and additional test abnormalities. The time from SARS-CoV-2 infection's onset to hospital admission does not seem to influence the prognostic value of CRP, IL-6, and NLR in non-severe COVID-19. Mild-to-moderate SARS-CoV-2 infection can be a trigger factor for epilepsy and epileptic seizures.

Indexed as

brain microhemorrhagesCOVID-19COVID-19 symptomsEEG in COVID-19MRI in COVID-19neuro-COVID-19SARS-CoV-2 infection

Identifiers

PMID36831898
PMCPMC9953805
OpenAlexW4321373464

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.