Evidence map›Paper›PMID 34392078›Full record

ArticleJournal of neuroimmunology2021

Acute myelitis and ChAdOx1 nCoV-19 vaccine: Casual or causal association?

Elisa Vegezzi, Sabrina Ravaglia, Gabriele Buongarzone, Paola Bini, Luca Diamanti, Matteo Gastaldi, Paolo Prunetti, Elisa Rognone, Enrico Marchioni

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of neuroimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  8. Relapse of Kleine-Levin Syndrome From COVID-19 Vaccine: Causal or Coincidence?Journal of clinical neurology (Seoul, Korea) · 2023
    Article
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  10. A review of neurological side effects of COVID-19 vaccination.European journal of medical research · 2023
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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

9 authors at 2 institutions in 1 country.

Elisa VegezziNeuroncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy. Electronic address: elisa.vegezzi@mondino.it.
Sabrina RavagliaEmergency Neurology Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: sabrina.ravaglia@mondino.it.
Gabriele BuongarzoneDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy. Electronic address: gabriele.buongarzone01@universitadipavia.it.
Paola BiniNeuroncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: paola.bini@mondino.it.
Luca DiamantiNeuroncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: luca.diamanti@mondino.it.
Matteo GastaldiNeuroncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy; Neuroimmunology Research Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: matteo.gastaldi@mondino.it.
Paolo PrunettiClinical Neurophysiology Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: paolo.prunetti@mondino.it.
Elisa RognoneNeuroradiology Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: elisa.rognone@mondino.it.
Enrico MarchioniNeuroncology and Neuroinflammation Unit, IRCCS Mondino Foundation, Pavia, Italy. Electronic address: enrico.marchion@mondino.it.
Fondazione Istituto Neurologico Nazionale Casimiro Mondino · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 44-year-old previously healthy woman developed acute myelitis in close temporal relationship with ChAdOx1 nCoV-19 vaccine first-dose administration. The neurological involvement was mainly sensory with neuroimaging showing two mono-metameric lesions involving the posterior and lateral cord at dorsal level. Significant improvement was promptly recorded with high-dose intravenous steroids, with complete recovery within one month. The strict temporal relationship between vaccination and myelitis, together with the absence of clues pointing to alternative diagnoses, might suggest a conceivable role for anti-SARS-CoV-2 vaccine as immunological trigger, although a causal relationship has yet to be established and our preliminary observation suggests caution.

Indexed as

Acute DiseaseAdultChAdOx1 nCoV-19COVID-19COVID-19 VaccinesFemaleHumansMyelitisChAdOx1 nCoV-19COVID-19 VaccinesCOVID-19MyelopathyVaccine

Identifiers

PMID34392078
PMCPMC8325554
OpenAlexW3189918497

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.