Evidence map›Paper›PMID 34480607›Full record

ArticleJournal of neurology2022

COVID-19 mRNA vaccination leading to CNS inflammation: a case series.

Mahsa Khayat-Khoei, Shamik Bhattacharyya, Joshua Katz, Daniel Harrison, Shahamat Tauhid, Penny Bruso, Maria K Houtchens, Keith R Edwards, Rohit Bakshi

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
7.7field-weighted citation impact, top 2% 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

89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Review

29 more citing papers are in PubMed but not listed here.

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.

Mahsa Khayat-KhoeiDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, 60 Fenwood Rd, Mailbox 9002L, Boston, MA, 02115, USA.ORCID https://orcid.org/0000-0002-3003-002X
Shamik BhattacharyyaDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, 60 Fenwood Rd, Mailbox 9002L, Boston, MA, 02115, USA.
Joshua KatzThe Elliot Lewis Center for Multiple Sclerosis Care, Wellesley, MA, USA.
Daniel HarrisonDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, 60 Fenwood Rd, Mailbox 9002L, Boston, MA, 02115, USA.
Shahamat TauhidDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, 60 Fenwood Rd, Mailbox 9002L, Boston, MA, 02115, USA.
Penny BrusoThe Multiple Sclerosis Center of Northeastern New York, Latham, NY, USA.
Maria K HoutchensDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, 60 Fenwood Rd, Mailbox 9002L, Boston, MA, 02115, USA.
Keith R EdwardsThe Multiple Sclerosis Center of Northeastern New York, Latham, NY, USA.
Rohit BakshiDepartment of Neurology, Brigham and Women's Hospital, Harvard Medical School, Hale Building for Transformative Medicine, 60 Fenwood Rd, Mailbox 9002L, Boston, MA, 02115, USA. rbakshi@post.harvard.edu.ORCID http://orcid.org/0000-0001-8601-5534
Brigham and Women's Hospital · USMultiple Sclerosis Center Of Northeastern New York · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The availability of vaccines against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), provides hope towards mitigation of the coronavirus disease 2019 (COVID-19) pandemic. Vaccine safety and efficacy has not been established in individuals with chronic autoimmune diseases such as multiple sclerosis (MS). Anecdotal reports suggest that the vaccines may be associated with brain, spinal cord, peripheral nervous system, and cardiac inflammation. Based on the high morbidity and unpredictable course of COVID-19, and the need to achieve herd immunity, vaccination has been recommended for patients with MS. We report clinical and MRI features of seven individuals who received the Moderna (n = 3) or Pfizer (n = 4) SARS-CoV-2 mRNA vaccines. Within one to 21 days of either the first (n = 2) or second (n = 5) vaccine dose, these patients developed neurologic symptoms and MRI findings consistent with active CNS demyelination of the optic nerve, brain, and/or spinal cord. Symptoms included visual loss, dysmetria, gait instability, paresthesias, sphincter disturbance, and limb weakness. Age ranged from 24 to 64 (mean 39.1) years; five were woman (71.4%). The final diagnosis was exacerbation of known stable MS (n = 4, two were receiving disease-modifying therapy at the time of vaccination), new onset MS (n = 2), or new onset neuromyelitis optica (n = 1). All responded to corticosteroid (n = 7) or plasma exchange (n = 1) therapy, with five returning to baseline and two approaching baseline. Large prospective studies are required to further investigate any possible relationship between COVID-19 vaccines and acute CNS demyelination.

Indexed as

COVID-19AdultCOVID-19 VaccinesFemaleHumansInflammationMiddle AgedRNA, MessengerSARS-CoV-2VaccinationYoung AdultCOVID-19 VaccinesRNA, MessengerCOVID-19DemyelinationInflammationMultiple sclerosisNeuromyelitis opticaSAR-CoV-2Vaccination

Identifiers

PMID34480607
PMCPMC8417681
OpenAlexW3196655091

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.