Evidence map›Paper›PMID 40115993›Full record

ArticleEuropean journal of neurology2025

Neurological long COVID in the outpatient clinic: Is it so long?

Stefano Giuseppe Grisanti, Sara Garbarino, Margherita Bellucci, Cristina Schenone, Valentina Candiani, Simmaco Di Lillo, Cristina Campi, Emanuela Barisione, Teresita Aloè, Elena Tagliabue and 9 more

Abstract read
In one paragraph

Article in European journal of neurology, 2025. 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. Article
  2. Review
  3. 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

19 authors.

Stefano Giuseppe GrisantiStruttura Complessa Neurologia P.O. Ponente, Dipartimento Testa-Collo, Ospedale Santa Corona, Pietra Ligure, Italy.ORCID 0000-0002-6293-9756
Sara GarbarinoLife Science Computational Laboratory, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Margherita BellucciDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica E Scienze Materno-Infantili, Università di Genova, Genoa, Italy.
Cristina SchenoneDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica E Scienze Materno-Infantili, Università di Genova, Genoa, Italy.
Valentina CandianiMIDA group, Dipartimento di Matematica, Università di Genova, Genoa, Italy.
Simmaco Di LilloDipartimento di Matematica, Università di Roma Tor Vergata, Rome, Italy.
Cristina CampiLife Science Computational Laboratory, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Emanuela BarisioneIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Teresita AloèIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Elena TagliabueIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Alberto ServentiChirurgia presidio ospedaliero Mons. Giovanni Galliano, Acqui Terme, Italy.
Giampaola PesceIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Sara MassuccoDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica E Scienze Materno-Infantili, Università di Genova, Genoa, Italy.
Corrado CabonaIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.ORCID 0000-0002-4282-8805
Anastasia LechiaraIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.
Antonio UccelliDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica E Scienze Materno-Infantili, Università di Genova, Genoa, Italy.
Angelo SchenoneDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica E Scienze Materno-Infantili, Università di Genova, Genoa, Italy.
Michele PianaLife Science Computational Laboratory, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Luana BenedettiIRCCS, Ospedale Policlinico San Martino, Genoa, Italy.ORCID 0000-0002-9540-9727

Funding

Ministero della Salute NET-2018-12366666NEXTGENERATIONEU (NGEU) ECS00000035NEXTGENERATIONEU (NGEU) PE0000006
6 · The paper itself

Abstract

background and purposeNeurological involvement in long COVID (coronavirus disease 2019) is well known. In a previous study we identified two subtypes of neurological long COVID, one characterized by memory disturbances, psychological impairment, headache, anosmia and ageusia, and the other characterized by peripheral nervous system involvement, each of which present a different risk factor profile. In this study, we aimed to clarify the persistence of neurological long COVID symptoms with a significantly longer term follow-up.

methodsWe prospectively collected data from patients with prior COVID-19 infection who showed symptoms of neurological long COVID. We conducted a descriptive analysis to investigate the progression of neurological symptoms over time at 3-, 6-, 12-, and 18-month follow-ups. We performed a k-means clustering analysis on the temporal evolution of the symptoms at 6, 12, and 18 months. Finally, we assessed the difference between the recovery course of vaccinated and non-vaccinated patients by computing the cumulative recovery rate of symptoms in the two groups.

resultsThe study confirmed the presence of two subtypes of neurological long COVID. Further, 50% of patients presented a complete resolution of symptoms at 18 months of follow-up, regardless of which subtype of neurological long COVID they had. Vaccination against SARS-Cov-2 appeared to imply a higher overall recovery rate for all neurological symptoms, although the statistical reliability of this finding is hampered by the limited sample size of the unvaccinated patients included in this study.

conclusionsNeurological long COVID can undergo complete resolution after 18 months of follow-up in 50% of patients and vaccination can accelerate the recovery.

Indexed as

COVID-19Nervous System DiseasesAdultAgedAmbulatory Care FacilitiesAnosmiaDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeProspective StudiesSARS-CoV-2clusteringCOVID‐19neurological long COVIDrecovery ratevaccination

Identifiers

PMID40115993
PMCPMC11926444

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.