Evidence map›Paper›PMID 35326363›Full record

ReviewBrain sciences2022

COVID-19 Vaccination and Neurological Manifestations: A Review of Case Reports and Case Series.

Shitiz Sriwastava, Kanika Sharma, Syed Hassan Khalid, Sakhi Bhansali, Ashish K Shrestha, Mahmoud Elkhooly, Samiksha Srivastava, Erum Khan, Shruti Jaiswal, Sijin Wen

Open access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
8.2field-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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Characteristics of sudden hearing loss after different COVID-19 vaccinations: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. A review of neuro-ophthalmic sequelae following COVID-19 infection and vaccination.Frontiers in cellular and infection microbiology · 2024
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Observational
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

10 authors at 7 institutions in 4 countries.

Shitiz SriwastavaDepartment of Neurology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA.ORCID 0000-0001-6844-3287
Kanika SharmaSmt. N.H.L. Municipal Medical College, Ahmedabad 380006, India.ORCID 0000-0001-7847-4319
Syed Hassan KhalidDepartment of Neurology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV 26506, USA.
Sakhi BhansaliCalcutta National Medical College, Kolkata 700014, India.
Ashish K ShresthaKathmandu Medical College Teaching Hospital, Kathmandu 44600, Nepal.ORCID 0000-0002-4614-7783
Mahmoud ElkhoolyDepartment of Neuropsychiatry, Minia University, Minia 61519, Egypt.ORCID 0000-0002-1299-3906
Samiksha SrivastavaDepartment of Neurology, Wayne State University, Detroit, MI 48201, USA.
Erum KhanB.J. Medical College and Civil Hospital, Ahmedabad 380016, India.
Shruti JaiswalWest Virginia Clinical and Translational Science Institute, Morgantown, WV 26506, USA.
Sijin WenWest Virginia Clinical and Translational Science Institute, Morgantown, WV 26506, USA.
West Virginia University · USB.J. Medical College · INCalcutta National Medical College and Hospital · INKathmandu Medical College Teaching Hospital · NPMinia University · EGSmt. N.H.L. Municipal Medical College · INWayne State University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundWith 10 vaccines approved by the WHO and nearly 48% of people fully vaccinated worldwide, we have observed several individual case studies of neurological manifestations post-COVID-19 vaccination. Through this systematic review, we aim to discern these CNS and PNS manifestations following the COVID-19 vaccine to help produce methods to mitigate them.

methodsWe conducted a thorough literature search of Google Scholar and PubMed from 1 December 2020 until 10 October 2021 and included all the case studies of COVID-19 vaccine-associated neurological side effects. The literature search and data analysis were performed by two independent reviewers according to prespecified inclusion and exclusion criteria using PRISMA.

resultsThe most common CNS manifestation was CVST (14.47%), found in females (64%) younger than 50 years (71%) after the first AstraZeneca dose (93%). Others included CNS demyelinating disorders (TM, ADEM, MS, NMOSD) (9.30%), encephalopathy/encephalitis (3.10%), and others (4.13%). The most common PNS manifestation was GBS (14.67%) found in males (71%) older than 50 years (79%), followed by Bell's palsy (5.24%) and others (2.10%). Most occurred with the AstraZeneca (28.55%), Pfizer-BioNTech (9.18%), and Moderna (8.16%) vaccines. Nine (64%) out of the 14 patients with CVST died. However, most cases overall (42 out of 51) were non-fatal (82%).

conclusionSeveral CNS and PNS adverse events have occurred post-COVID-19 vaccination, including CVST, GBS, and TM. High vigilance with early identification and treatment leads to better outcomes. Further studies with non-vaccinated controls might help in understanding the pathophysiologic mechanisms of these neurological manifestations following COVID-19 vaccination.

Indexed as

COVID-19 vaccinationGBSJanssen/Johnson and Johnson and AstraZeneca vaccineModernaPfizer BioNTechtransverse myelitis

Identifiers

PMID35326363
PMCPMC8946610
OpenAlexW4221087739

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.