SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
Unmasking the cognitive burden of adult tuberculous meningitis: A systematic review and meta analysis.
Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
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Abstract
introductionTuberculous meningitis (TBM) is a devastating form of extrapulmonary tuberculosis with high mortality and substantial long-term neurological sequelae. Cognitive impairment is a particularly debilitating outcome yet remains under-recognised and understudied. However, heterogeneous methodologies and tools remain a major barrier to pooling data and forming clinical guidelines. AIMS AND
objectivesTo evaluate the prevalence, patterns, and determinants of cognitive impairment among adult TBM patients. METHODOLOGY: A total of 761 records were identified, and six studies met the inclusion criteria and were included in the qualitative synthesis, of which four studies were included in the quantitative meta-analysis.
resultsCognitive impairment ranging from 12% to over 90% was found across studies, with severity ranging from mild deficits to severe global dysfunction. The most consistently affected domains were memory, attention, and executive function, followed by language and visuospatial.
conclusionMultidomain cognitive impairment is a common sequela of tuberculous meningitis, underscoring the need for routine screening and long-term rehabilitation.
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Registered trials
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.