Evidence map›Paper›PMID 35185757›Full record

ArticleFrontiers in neurology2021

Case Series: Acute Hemorrhagic Encephalomyelitis After SARS-CoV-2 Vaccination.

Mihai Ancau, Friederike Liesche-Starnecker, Johanna Niederschweiberer, Sandro M Krieg, Claus Zimmer, Charlotte Lingg, Daniela Kumpfmüller, Benno Ikenberg, Markus Ploner, Bernhard Hemmer and 3 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Acute hemorrhagic leukoencephalitis: a case report and systematic review of factors associated with severe disability and death.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. [Report of 3 cases of acute hemorrhagic leukoencephalitis in Mexico].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Pooled it
  3. Acute disseminated encephalomyelitis (ADEM) following COVID-19 vaccination: A systematic review.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2023
    Pooled it
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  10. Neurological Adverse Reactions to SARS-CoV-2 Vaccines.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023
    Review
  11. Co-VAN study: COVID-19 vaccine associated neurological diseases- an experience from an apex neurosciences centre and review of the literature.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2023
    Review
  12. Post-COVID-19 Vaccination CNS Magnetic Resonance Imaging Findings: A Systematic Review.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Review
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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

13 authors.

Mihai AncauDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Friederike Liesche-StarneckerDepartment of Neuropathology, Institute of Pathology, Technical University of Munich, Munich, Germany.
Johanna NiederschweibererDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Sandro M KriegDepartment of Neurosurgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Claus ZimmerDepartment of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Charlotte LinggDepartment of Anesthesiology and Intensive Care Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Daniela KumpfmüllerDepartment of Anesthesiology and Intensive Care Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Benno IkenbergDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Markus PlonerDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Bernhard HemmerDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Silke WunderlichDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Mark MühlauDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Benjamin KnierDepartment of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present three cases fulfilling diagnostic criteria of hemorrhagic variants of acute disseminated encephalomyelitis (acute hemorrhagic encephalomyelitis, AHEM) occurring within 9 days after the first shot of ChAdOx1 nCoV-19. AHEM was diagnosed using magnetic resonance imaging, cerebrospinal fluid analysis and brain biopsy in one case. The close temporal association with the vaccination, the immune-related nature of the disease as well as the lack of other canonical precipitating factors suggested that AHEM was a vaccine-related adverse effect. We believe that AHEM might reflect a novel COVID-19 vaccine-related adverse event for which physicians should be vigilant and sensitized.

Indexed as

acute disseminated encephalomyelitisacute hemorrhagic encephalomyelitisacute hemorrhagic leukoencephalitisChAdOx1 nCoV-19COVID-19vaccinationWeston-Hurst syndrome

Identifiers

PMID35185757
PMCPMC8847228

What OpenQuestion holds

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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.