Evidence map›Paper›PMID 36304095›Full record

ArticleTranslational neuroscience2022

A singular case of hyposmia and transient audiovestibular post-vaccine disorders: case report and literature review.

Francesco Fantin, Andrea Frosolini, Isabella Tundo, Ingrid Inches, Cristoforo Fabbris, Giacomo Spinato, Cosimo de Filippis

Open access · goldAbstract readCase Reports
In one paragraph

Article in Translational neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

7 authors at 2 institutions in 1 country.

Francesco FantinDepartment of Neuroscience DNS, University of Padova, Audiology Unit, Treviso Hospital, Treviso, Italy.ORCID https://orcid.org/0000-0002-4207-6981
Andrea FrosoliniDepartment of Neuroscience DNS, University of Padova, Audiology Unit, Treviso Hospital, Treviso, Italy.ORCID https://orcid.org/0000-0003-1347-4013
Isabella TundoDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia," ENT Section, A.O.U. Policlinico "G.Rodolico-San Marco," University of Catania, Catania, Italy.
Ingrid InchesDepartment of Diagnostic Imaging, Neuroradiology Unit, Treviso Hospital, Treviso, Italy.
Cristoforo FabbrisDepartment of Neuroscience DNS, University of Padova, Otolaryngology Unit, Treviso Hospital, Treviso, Italy.ORCID https://orcid.org/0000-0002-4476-9802
Giacomo SpinatoDepartment of Neuroscience DNS, University of Padova, Otolaryngology Unit, Treviso Hospital, Treviso, Italy.ORCID https://orcid.org/0000-0001-5295-5077
Cosimo de FilippisDepartment of Neuroscience DNS, University of Padova, Audiology Unit, Treviso Hospital, Treviso, Italy.ORCID https://orcid.org/0000-0002-2491-7783
Ca' Foncello Hospital · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Rare and mild adverse effects on cranial nerves have been reported after vaccination. Here, we report a singular case of smell and taste disorder associated with tinnitus that occurred after Oxford-AstraZeneca vaccination together with a review of the available literature. Case presentation: A 76-year-old patient experienced smell disorder, ear fullness and tinnitus 2 days after the first dose of Oxford-AstraZeneca vaccine. The patient then underwent a complete audiological and Ear, Nose and Throat evaluation, nasal endoscopy, Sniffin'Sticks battery, audiometric test battery, and cerebral magnetic resonance imaging (MRI). The exams revealed hyposmia and bilateral reduction of the volume of the olfactory bulbs (OB). At the follow-up, tinnitus was completely resolved while olfactory dysfunction only partially reduced. Review of the literature: A PubMed search was conducted on olfactory and gustatory dysfunctions after COVID-19 vaccination resulting in four case reports with a total of 10 patients. The main symptoms were hyposmia, parosmia, and dysgeusia developed after 1-9 days from vaccination with complete resolution occurring within 1 month. Notably, none of the considered articles reported reduction of OB volumes at cerebral MRI. Discussion: So far, no definitive cause-effect relationship has been established between anti-COVID19 vaccination and otolaryngologic adverse reactions. The persistence of hyposmia in our patient could possibly be explained by the reduction in OB volume, even though also the advanced age of the patient needs to be taken into account. This is a first indication of a cause-effect relation between hyposmia and Covid19 vaccination, even though a more robust study is needed to confirm the autoimmunological mechanisms responsible for these rare adverse reactions. However, it is worth highlighting that benefits of the anti-COVID-19 vaccination clearly outweigh the risk of rare adverse events.

Indexed as

anosmiaCOVID-19 vaccinationhyposmiaolfactory bulbolfactory dysfunctionsmell and taste disorderstinnitusvaccine adverse reaction

Identifiers

PMID36304095
PMCPMC9547348
OpenAlexW4307583358

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.