4.7 Article

Acute transverse myelitis following SARS-CoV-2 vaccination: a case report and review of literature

Journal

JOURNAL OF NEUROLOGY
Volume 269, Issue 3, Pages 1121-1132

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00415-021-10785-2

Keywords

COVID-19; SARS-CoV-2; Transverse myelitis; MRI spine; Post vaccination myelitis

Funding

  1. WVCTSI via US National Institute of General Medical Sciences of National Institute of Health [5U54GM104942-05]

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This study reported a unique case of transverse myelitis following COVID-19 vaccination and reviewed relevant literature. The patient responded well to treatment, but further research is needed to identify the potential correlation between COVID-19 vaccination and transverse myelitis.
Objective To report a unique case and literature review of post COVID-19 vaccination associated transverse myelitis and with abnormal MRI findings. Background Coronavirus disease have been reported to be associated with several neurological manifestations such as stroke, Guillain-Barre syndrome, meningoencephalitis amongst others. There are only a few reported cases of transverse myelitis with the novel coronavirus (n-CoV-2). Here, we identify a post COVID-19 vaccination patient diagnosed with acute transverse myelitis. Method A retrospective chart review of a patient diagnosed with post SARS-CoV-2 vaccination acute transverse myelitis, and a review of literature of all the reported cases of other post vaccination and transverse myelitis, from December 1st, 2010 till July 15th, 2021, was performed. Conclusion To our knowledge, this is the one of early reported case of transverse myelitis and with post SARS-CoV-2 vaccination, who responded well to plasmapheresis. Further studies would be recommended to identify the underlying correlation between COVID-19 vaccination and transverse myelitis.

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