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Nasuelli NA, De Marchi F, Cecchin M, De Paoli I, Onorato S, Pettinaroli R, Savoini G, Godi L. A case of acute demyelinating polyradiculoneuropathy with bilateral facial palsy after ChAdOx1 nCoV-19 vaccine. Neurol Sci 2021; 42:4747-4749. [PMID: 34272622 PMCID: PMC8285283 DOI: 10.1007/s10072-021-05467-w] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 07/04/2021] [Indexed: 11/28/2022]
Abstract
Background The coronavirus disease 2019 (COVID-19) global pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began in late 2019. Researchers around the world are aggressively working to develop a vaccine. One of the vaccines approved against COVID-19 is Oxford–AstraZeneca chimpanzee adenovirus vectored vaccine ChAdOx1 nCoV-19. Case report We described a patient who developed four limb distal paraesthesia, postural instability, and facial diplegia, ten days after vaccination with ChAdOx1 nCoV-19 (ABW1277). The electrophysiological findings were compatible with acute demyelinating motor polyneuropathy (Guillain-Barrè syndrome). Discussion We therefore want to describe a temporal correlation between administration of ChAdOx1 nCoV-19 (ABW1277) vaccine and GBS without evidence of other predisposing infectious or autoimmune factors. This paper aims to highlight the importance of pharmacovigilance and subsequent reports will be needed to evaluate the possible correlation between these two events.
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Affiliation(s)
- Nicola Alessandro Nasuelli
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy.
| | - Fabiola De Marchi
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy.,Department of Neurology and ALS Centre, Traslational Medicine, University of Piemonte Orientale, Maggiore Della Carità Hospital, Novara, Italy
| | - Michela Cecchin
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy
| | - Irene De Paoli
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy
| | - Susanna Onorato
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy
| | - Roberto Pettinaroli
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy
| | - Giovanni Savoini
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy
| | - Laura Godi
- Department of Neurology, ASL NO, Borgomanero Hospital, Viale Zoppis 10, 28021, Borgomanero, Novara, Italy
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De Icco R, Cucinella L, De Paoli I, Martella S, Sances G, Bitetto V, Sandrini G, Nappi G, Tassorelli C, Nappi RE. Modulation of nociceptive threshold by combined hormonal contraceptives in women with oestrogen-withdrawal migraine attacks: a pilot study. J Headache Pain 2016; 17:70. [PMID: 27488685 PMCID: PMC4972742 DOI: 10.1186/s10194-016-0661-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Accepted: 07/22/2016] [Indexed: 01/03/2023] Open
Abstract
Background Menstrually-related headache and headaches associated with oestrogen withdrawal are common conditions, whose pathophysiology has not been completely elucidated. In this study we evaluated the influence of combined hormonal contraceptives (CHC) on pain threshold in women presenting migraine attacks during hormone-free interval. Findings Eleven women with migraine attacks recurring exclusively during the oestrogen-withdrawal period were studied with the nociceptive flexion reflex, a neurophysiological assessment of the pain control systems, during the third week of active treatment and during the hormone-free interval. During the hormone-free interval, nociceptive withdrawal reflex threshold was significantly lower (12.8 ± 8.0 mA) as compared to the third week of hormonal treatment (15.6 ± 6.6 mA) (p = 0.02). No change was observed in the pain perceived and in the temporal summation. Conclusions Oestrogen withdrawal may mediate an increased sensitivity to somatosensory stimuli in women with migraine attacks recurring during the hormone-free interval.
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Affiliation(s)
- Roberto De Icco
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy. .,Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
| | - Laura Cucinella
- Research Centre for Reproductive Medicine, Gynaecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy.,Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy
| | - Irene De Paoli
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy.,Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Silvia Martella
- Research Centre for Reproductive Medicine, Gynaecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy.,Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy
| | - Grazia Sances
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy
| | - Vito Bitetto
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy
| | - Giorgio Sandrini
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy.,Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Giuseppe Nappi
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy
| | - Cristina Tassorelli
- Headache Science Centre, C. Mondino National Neurological Institute, University of Pavia, Pavia, Italy.,Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Rossella E Nappi
- Research Centre for Reproductive Medicine, Gynaecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Pavia, Italy.,Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy
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