Evidence map›Paper›PMID 35890028›Full record

ReviewPathogens (Basel, Switzerland)2022

Elevated Intracranial Pressure in Cryptococcal Meningoencephalitis: Examining Old, New, and Promising Drug Therapies.

Abdulaziz H Alanazi, Mir S Adil, Xiaorong Lin, Daniel B Chastain, Andrés F Henao-Martínez, Carlos Franco-Paredes, Payaningal R Somanath

Open access · goldAbstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. mBio · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Article
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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

7 authors at 4 institutions in 2 countries.

Abdulaziz H AlanaziClinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, GA 30902, USA.
Mir S AdilClinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, GA 30902, USA.ORCID 0000-0002-2129-1228
Xiaorong LinDepartment of Microbiology, University of Georgia, Athens, GA 30602, USA.ORCID 0000-0002-3390-8387
Daniel B ChastainDepartment of Clinical and Administrative Pharmacy, UGA College of Pharmacy, SWGA Clinical Campus, Phoebe Putney Memorial Hospital, Albany, GA 31701, USA.ORCID 0000-0002-4018-0195
Andrés F Henao-MartínezDivision of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0001-7363-8652
Carlos Franco-ParedesDivision of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0001-8757-643X
Payaningal R SomanathClinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, GA 30902, USA.ORCID 0000-0003-3017-0230
University of Georgia · USHospital Infantil de México Federico Gómez · MXPhoebe Putney Memorial Hospital · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
NCATS NIH HHS UL1 TR002378NCATS NIH HHS UL1TR002378
6 · The paper itself

Abstract

Despite the availability of effective antifungal therapy, cryptococcal meningoencephalitis (CM) remains associated with elevated mortality. The spectrum of symptoms associated with the central nervous system (CNS) cryptococcosis is directly caused by the high fungal burden in the subarachnoid space and the peri-endothelial space of the CNS vasculature, which results in intracranial hypertension (ICH). Management of intracranial pressure (ICP) through aggressive drainage of cerebrospinal fluid by lumbar puncture is associated with increased survival. Unfortunately, these procedures are invasive and require specialized skills and supplies that are not readily available in resource-limited settings that carry the highest burden of CM. The institution of pharmacologic therapies to reduce the production or increase the resorption of cerebrospinal fluid would likely improve clinical outcomes associated with ICH in patients with CM. Here, we discuss the potential role of multiple pharmacologic drug classes such as diuretics, corticosteroids, and antiepileptic agents used to decrease ICP in various neurological conditions as potential future therapies for CM.

Indexed as

blood-brain-barrierCryptococcus neoformansedemaintracranial pressuremeningitis

Identifiers

PMID35890028
PMCPMC9321092
OpenAlexW4285014685

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.