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Published in: Neurological Sciences 3/2022

01-03-2022 | Guillain-Barré Syndrome | COVID-19

Autoimmune encephalitis following ChAdOx1-S SARS-CoV-2 vaccination

Authors: Hyeryung Kwon, Taewon Kim

Published in: Neurological Sciences | Issue 3/2022

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Excerpt

ChAdOx1-S (Covishield™/Vaxzevria, Astra-Zeneca) is the main vaccine recommended for mass national immunization program in the Republic of Korea against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has been administered since March 2021. In addition to mild side effects including pain at the injection site, myalgia, arthralgia, and headache, a serious adverse effect involving vaccine-induced thrombotic thrombocytopenia (VITT) with vascular complications has been reported after administration of this adenovector-based SARS-CoV-2 vaccine [1, 2]. Rarely, autoimmune disease such as Guillain-Barré syndrome (GBS) has also been associated with ChAdOx1-S vaccination [3, 4]. However, as a post-vaccination phenomenon, autoimmune encephalitis (AE) has yet to be reported in the literature. Herein, we describe a patient who developed autoimmune encephalitis the day after the second dose of ChAdOx1-S vaccination with progressive cognitive worsening in a 4-week period. …
Literature
5.
go back to reference Varatharaj A, Thomas N, Ellul MA, Davies NWS, Pollak TA, Tenorio EL, Sultan M, Easton A, Breen G, Zandi M, Coles JP, Manji H, Al-Shahi Salman R, Menon DK, Nicholson TR, Benjamin LA, Carson A, Smith C, Turner MR, Solomon T, Kneen R, Pett SL, Galea I, Thomas RH, Michael BD (2020) Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. Lancet Psychiatry 7(10):875–882. https://doi.org/10.1016/s2215-0366(20)30287-xCrossRefPubMedPubMedCentral Varatharaj A, Thomas N, Ellul MA, Davies NWS, Pollak TA, Tenorio EL, Sultan M, Easton A, Breen G, Zandi M, Coles JP, Manji H, Al-Shahi Salman R, Menon DK, Nicholson TR, Benjamin LA, Carson A, Smith C, Turner MR, Solomon T, Kneen R, Pett SL, Galea I, Thomas RH, Michael BD (2020) Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. Lancet Psychiatry 7(10):875–882. https://​doi.​org/​10.​1016/​s2215-0366(20)30287-xCrossRefPubMedPubMedCentral
9.
go back to reference Armangue T, Olivé-Cirera G, Martínez-Hernandez E, Sepulveda M, Ruiz-Garcia R, Muñoz-Batista M, Ariño H, González-Álvarez V, Felipe-Rucián A, Jesús Martínez-González M, Cantarín-Extremera V, Concepción Miranda-Herrero M, Monge-Galindo L, Tomás-Vila M, Miravet E, Málaga I, Arrambide G, Auger C, Tintoré M, Montalban X, Vanderver A, Graus F, Saiz A, Dalmau J (2020) Associations of paediatric demyelinating and encephalitic syndromes with myelin oligodendrocyte glycoprotein antibodies: a multicentre observational study. Lancet Neurol 19(3):234–246. https://doi.org/10.1016/s1474-4422(19)30488-0CrossRefPubMed Armangue T, Olivé-Cirera G, Martínez-Hernandez E, Sepulveda M, Ruiz-Garcia R, Muñoz-Batista M, Ariño H, González-Álvarez V, Felipe-Rucián A, Jesús Martínez-González M, Cantarín-Extremera V, Concepción Miranda-Herrero M, Monge-Galindo L, Tomás-Vila M, Miravet E, Málaga I, Arrambide G, Auger C, Tintoré M, Montalban X, Vanderver A, Graus F, Saiz A, Dalmau J (2020) Associations of paediatric demyelinating and encephalitic syndromes with myelin oligodendrocyte glycoprotein antibodies: a multicentre observational study. Lancet Neurol 19(3):234–246. https://​doi.​org/​10.​1016/​s1474-4422(19)30488-0CrossRefPubMed
10.
go back to reference Pohl D, Alper G, Van Haren K, Kornberg AJ, Lucchinetti CF, Tenembaum S, Belman AL (2016) Acute disseminated encephalomyelitis: updates on an inflammatory CNS syndrome. Neurology 87(9 Supplement 2):S38–S45CrossRefPubMed Pohl D, Alper G, Van Haren K, Kornberg AJ, Lucchinetti CF, Tenembaum S, Belman AL (2016) Acute disseminated encephalomyelitis: updates on an inflammatory CNS syndrome. Neurology 87(9 Supplement 2):S38–S45CrossRefPubMed
11.
Metadata
Title
Autoimmune encephalitis following ChAdOx1-S SARS-CoV-2 vaccination
Authors
Hyeryung Kwon
Taewon Kim
Publication date
01-03-2022
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 3/2022
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-021-05790-2

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