Sepahvand Mahsa, Yazdi Narges, Rohani Mohammad, Emamikhah Maziar
Department of Neurology, Rasool Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Radiol Case Rep. 2022 Feb;17(2):303-305. doi: 10.1016/j.radcr.2021.10.053. Epub 2021 Nov 25.
Myelitis, including longitudinally extensive transverse myelitis (LTEM), is reported in more than forty patients after coronavirus disease 2019 (COVID-19). Among COVID-19 vaccines, only Oxford-AstraZeneca COVID-19 vaccine (AZD1222) has been associated with few cases of myelitis (1 LTEM). We report the first case of myelitis/LTEM after BBIBP-CorV/Sinopharm vaccine, interestingly presented as a hemicord syndrome. A 71-year-old male presented with left-side diplegia, right-side hemihyposthesis with facial sparing and impaired position sensation in left foot after vaccination with BBIBP-CorV. MRI revealed a longitudinal signal in left cervical hemicord. This is the first reported myelitis and LTEM with COVID-19 vaccines other than AZD1222.
据报道,2019冠状病毒病(COVID-19)后有40多名患者发生了脊髓炎,包括长节段横贯性脊髓炎(LTEM)。在COVID-19疫苗中,只有牛津-阿斯利康COVID-19疫苗(AZD1222)与少数脊髓炎病例(1例LTEM)有关。我们报告了第一例接种BBIBP-CorV/国药疫苗后发生脊髓炎/LTEM的病例,有趣的是,该病例表现为半侧脊髓综合征。一名71岁男性在接种BBIBP-CorV后出现左侧双瘫、右侧半身感觉减退伴面部感觉保留以及左脚位置觉受损。MRI显示左侧颈髓半侧有纵向信号。这是除AZD1222之外,首次报道的与COVID-19疫苗相关的脊髓炎和LTEM病例。