학술논문

Longitudinally extensive transverse myelitis following ChAdOx1 nCoV-19 vaccine.
Document Type
Article
Source
Journal of Postgraduate Medicine. Jul-Sep2022, Vol. 68 Issue 3, p179-181. 3p.
Subject
*METHYLPREDNISOLONE
*COVID-19 vaccines
*CONSTIPATION
*CONVALESCENCE
*LEG
*MUSCLE weakness
*NUMBNESS
*TRANSVERSE myelitis
*RETENTION of urine
*ROUTINE diagnostic tests
Language
ISSN
0022-3859
Abstract
Transverse myelitis (TM) has been reported in association with various vaccinations. Herein we describe a case of longitudinally extensive transverse myelitis (LETM) associated with vaccination with ChAdOx1 nCoV-19 (COVISHIELD) vaccine. A 59-year-old woman with no prior co-morbidities presented with lower extremity numbness, weakness, acute urinary retention, and constipation. Numbness gradually extended up to the lower costal margin with band like sensation. She had received the vaccine 5 days prior to the onset of the symptoms. Extensive diagnostic evaluation effectively ruled out causes other than vaccination-associated transverse myelitis. Following treatment with intravenous methylprednisolone, the patient made a significant recovery. TM may be associated with vaccination against the novel ChAdOx1 nCoV-19 vaccine and we believe this to be the first report from India of LETM associated with this vaccine. [ABSTRACT FROM AUTHOR]