Evidence map›Paper›PMID 39957507›Full record

ArticlePsychological medicine2025

Altered corticostriatal connectivity in long-COVID patients is associated with cognitive impairment.

Marie Troll, Meng Li, Tara Chand, Marlene Machnik, Tonia Rocktäschel, Antonia Toepffer, Johanna Ballez, Kathrin Finke, Daniel Güllmar, Jürgen R Reichenbach and 2 more

Abstract read
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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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

11 citing papers in PubMed.

  1. Review
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  3. Resting-state functional connectivity and cognitive impairment after COVID-19 infection: Evidence from a large-scale fMRI study.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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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

12 authors.

Marie TrollDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Meng LiDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Tara ChandDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Marlene MachnikDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Tonia RocktäschelDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Antonia ToepfferDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Johanna BallezDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Kathrin FinkeDepartment of Neurology, Jena University Hospital, Germany.
Daniel GüllmarMedical Physics Group, Institute for Diagnostic and Interventional Radiology, University Hospital Jena, Germany.
Jürgen R ReichenbachCenter for Intervention and Research on Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C-I-R-C), Halle-Jena-Magdeburg.
Martin WalterDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.
Bianca BesteherDepartment of Psychiatry and Psychotherapy, University Hospital Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has had a significant impact on the health of millions of people worldwide, and many manifest new or persistent symptoms long after the initial onset of the infection. One of the leading symptoms of long-COVID is cognitive impairment, which includes memory loss, lack of concentration, and brain fog. Understanding the nature and underlying mechanisms of cognitive impairment in long-COVID is important for developing preventive and therapeutic interventions.

methodsOur present study investigated functional connectivity (FC) changes in patients with long-COVID and their associations with cognitive impairment. Resting-state functional MRI data from 60 long-COVID patients and 52 age- and sex-matched healthy controls were analyzed using seed-based functional connectivity analysis.

resultsWe found increased FC between the right caudate nucleus and both the left and right precentral gyri in long-COVID patients compared with healthy controls. In addition, elevated FC was observed between the right anterior globus pallidus and posterior cingulate cortex as well as the right temporal pole in long-COVID patients. Importantly, the magnitude of FC between the caudate and the left precentral gyrus showed a significant negative correlation with Montreal Cognitive Assessment (MoCA) scores and a negative correlation with Trail Making Test B performance in the patient group.

conclusionPatients with long-COVID present enhanced FC between the caudate and the left precentral gyrus. Furthermore, those FC alterations are related to the severity of cognitive impairment, particularly in the domain of executive functions.

Indexed as

Caudate NucleusCerebral CortexCognitive DysfunctionCorpus StriatumCOVID-19AdultAgedCase-Control StudiesConnectomeFemaleGyrus CinguliHumansMagnetic Resonance ImagingMaleMiddle AgedNeural Pathwaysbasal gangliacorticostriatal loopCOVID-19long-COVIDpost-COVID-19 conditionresting-state fMRI

Identifiers

PMID39957507
PMCPMC12080633

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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.