Evidence map›Paper›PMID 35306244›Full record

ArticleMultiple sclerosis and related disorders2022

COVID-19 vaccine associated demyelination & its association with MOG antibody.

M Netravathi, Kamakshi Dhamija, Manisha Gupta, Arina Tamborska, A Nalini, V V Holla, L K Nitish, Deepak Menon, P K Pal, V Seena and 7 more

Open access · greenAbstract read
In one paragraph

Article in Multiple sclerosis and related disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  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
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  6. Treatment of post-vaccination optic neuritis: implications from the global SARS-CoV-2 vaccination effort.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  19. Early-onset Cervical Myelitis after COVID-19 Vaccination.Internal medicine (Tokyo, Japan) · 2023
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  20. Neuro-Ophthalmic Complications of COVID-19 Infection and Vaccination.Advances in ophthalmology and optometry · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 2 countries.

M NetravathiDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India. Electronic address: sundernetra@yahoo.co.in.
Kamakshi DhamijaDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
Manisha GuptaDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
Arina TamborskaNational Institute for Health Research Health Protection Unit for Emerging and Zoonotic Infections, University of Liverpool, United Kingdom; Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom; Department of Clinical Infection Microbiology and Immunology, Institute for Infection, Veterinary and Ecological Sciences, University of Liverpool, United Kingdom.
A NaliniDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
V V HollaDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
L K NitishDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
Deepak MenonDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
P K PalDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
V SeenaDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
Ravi YadavDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
M RavindranadhDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
Arshad FaheemDepartment of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
J SainiDepartment of Neuroimaging & Interventional Neuroradiology, National Institute of Mental Health & Neurosciences, Bangalore.
Anita MahadevanDepartment of Neuropathology, National Institute of Mental Health & Neurosciences, Bangalore.
Tom SolomonNational Institute for Health Research Health Protection Unit for Emerging and Zoonotic Infections, University of Liverpool, United Kingdom; Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom; Department of Clinical Infection Microbiology and Immunology, Institute for Infection, Veterinary and Ecological Sciences, University of Liverpool, United Kingdom.
Bhagteshwar SinghNational Institute for Health Research Health Protection Unit for Emerging and Zoonotic Infections, University of Liverpool, United Kingdom; Department of Clinical Infection Microbiology and Immunology, Institute for Infection, Veterinary and Ecological Sciences, University of Liverpool, United Kingdom; Department of Infectious Diseases, Christian Medical College, Vellore, India.
National Institute of Mental Health and Neurosciences · INHealth Protection Research Unit in Emerging and Zoonotic Infections at University of Liverpool · GBUniversity of Liverpool · GB

Funding

Medical Research Council MR/V033441/1
6 · The paper itself

Abstract

backgroundChAdOx1-S (Covishield™/Vaxzervria, AstraZeneca) and BBV152 (Covaxin) SARS-CoV-2 vaccines are proven to be safe and effective, but rare complications have been reported.

objectiveTo describe reports of central nervous system (CNS) demyelination following ChAdOx1-S and BBV152 vaccinations. METHODS &

resultsWe report 29 (17 female; mean 38 years) cases of CNS demyelination; twenty-seven occurred in temporal association with ChAdOx1-S vaccine; two in association with BBV152 vaccine. Eleven patients had presentation with myelitis, six patients developed optic neuritis, five had acute demyelinating encephalomyelitis, three presented with brainstem demyelination, and four had multiaxial involvement. Myelin oligodendrocyte glycoprotein (MOG) antibodies were positive in ten patients. One patient with ADEM and tumefactive demyelinating lesions died after a prolonged intensive care unit stay and superimposed infection. As compared to the control group (87); the postvaccinial cases were found to have a significantly higher mean age, presence of encephalopathy (p value:0.0007), CSF pleocytosis (p value: 0.0094) and raised CSF protein (p value: 0.0062).

conclusionsIt is difficult to establish a causal relationship between vaccination and neurological adverse events such as demyelination. The temporal association with the vaccination and the presence of MOG antibodies raises the possibility of an immunogenic process triggered by the vaccine in susceptible individuals.

Indexed as

COVID-19Demyelinating DiseasesAutoantibodiesCOVID-19 VaccinesFemaleHumansMyelin-Oligodendrocyte GlycoproteinSARS-CoV-2AutoantibodiesCOVID-19 VaccinesMyelin-Oligodendrocyte GlycoproteinCNS DEMYELINATIONCOVID-19MOGSARS-CoV-VACCINE

Identifiers

PMID35306244
PMCPMC8917969
OpenAlexW4220919868

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.