Axonal-Variant Guillian-Barre Syndrome Temporally Associated With mRNA-Based Moderna SARS-CoV-2 Vaccine.

Axonal-Variant Guillian-Barre Syndrome Temporally Associated With mRNA-Based Moderna SARS-CoV-2 Vaccine.
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轴突变异型格林-巴利综合征与基于mRNA的Moderna SARS-CoV-2疫苗暂时相关

DOI:
10.7759/cureus.18291
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发表时间:
2021-09
期刊:
Cureus
影响因子:
--
通讯作者:
Geraci A
Geraci A
中科院分区:
其他
文献类型:
--
作者:
Dalwadi V;Hancock D;Ballout AA;Geraci A

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我们报告一例86岁的妇女,在第二次接种莫德纳SARS-CoV-2疫苗后两天出现进行性四肢瘫痪,脑脊液(CSF)有细胞蛋白细胞学分离的证据,肌电/神经传导研究(EMG/NCS)结果提示急性轴索运动神经病。她的临床症状在血浆置换治疗后并没有改善。接种基于mRNA的SARS-CoV-2疫苗与格林-巴利综合征(GBS)的发展似乎存在潜在的时间关联。尽管可能存在这种关联,但仍强烈建议使用高效的基于信使核糖核酸的疫苗预防感染。需要对SARS-CoV-2疫苗相关不良事件进行大规模流行病学研究。医生应该意识到这种可能的时间相关性,因为及时诊断和治疗GBS可以显著改善预后。其目的是报告一例轴突变异型GBS,该病例与基于mRNA的SARS-CoV-2疫苗暂时相关。
We present a case of an 86-year-old woman who presented with a progressive quadriparesis two days after her second dose of Moderna SARS-CoV-2 vaccine, with cerebrospinal fluid (CSF) evidence of cytoalbuminocytological dissociation and electromyogram/nerve conduction studies (EMG/NCS) findings suggestive of acute axonal motor neuropathy. Her clinical symptoms did not improve with plasmapheresis. There appears to be a potential temporal association between the inoculation of mRNA-based SARS-CoV-2 vaccines and the development of Guillain-Barre Syndrome (GBS). Despite this possible association, infection prevention using highly effective mRNA-based vaccines remains highly recommended. Large epidemiological studies of SARS-CoV-2 vaccine-related adverse events are needed. Physicians should be aware of this possible temporal association since the prompt diagnosis and treatment of GBS can drastically improve outcomes. The aim is to report a case of axonal-variant GBS that was temporally associated with an mRNA-based SARS-CoV-2 vaccine.
DOI: 10.1016/s0140-6736(20)32661-1
发表时间: 2021-01-09
期刊: Lancet (London, England)
影响因子: --
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影响因子: --
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