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病例报告：1例新冠病毒疫苗接种后急性横贯性脊髓炎患者的康复情况

Case Report: The Rehabilitation of a Patient with Acute Transverse Myelitis after COVID-19 Vaccination.

作者信息

Niebrzydowski Piotr, Kusiak-Kaczmarek Małgorzata, Tomaszewski Jarosław, Gmiński Maciej, Szalewska Dominika

机构信息

Rehabilitation Clinic, University Clinical Center, Aleja Zwycięstwa 30 Street, 80-219 Gdańsk, Poland.

Division of Rehabilitation Medicine, Faculty of Health Sciences, Medical University of Gdansk, 80-219 Gdańsk, Poland.

出版信息

Clin Pract. 2024 Jun 6;14(3):1076-1084. doi: 10.3390/clinpract14030085.

DOI:10.3390/clinpract14030085
PMID:38921263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11202767/
Abstract

We report the case of a 55-year-old man with multi-symptomatic transverse myelitis after vaccination against coronavirus disease 2019 (COVID-19). The patient was diagnosed based on the course of the disease and the results of imaging and laboratory tests. We excluded other most probable causes of the disease. The quick start of diagnosis allowed for early treatment with intravenous steroids and then plasmapheresis and the implementation of modern rehabilitation methods using biofeedback platforms, among others, and an exoskeleton. The patient returned to work, but the rehabilitation process continues to this day due to persistent symptoms that impair the patient's quality of life.

摘要

我们报告了一例55岁男性在接种2019冠状病毒病（COVID-19）疫苗后发生多症状横贯性脊髓炎的病例。该患者根据疾病病程以及影像学和实验室检查结果得以确诊。我们排除了该疾病其他最可能的病因。诊断的快速启动使得患者能够早期接受静脉注射类固醇治疗，随后进行血浆置换，并采用了包括生物反馈平台和外骨骼等在内的现代康复方法。患者已重返工作岗位，但由于持续存在的症状影响其生活质量，康复过程至今仍在继续。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/87688c3ca1dd/clinpract-14-00085-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/a6217520a2a8/clinpract-14-00085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/7622a2dac5cd/clinpract-14-00085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/87688c3ca1dd/clinpract-14-00085-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/a6217520a2a8/clinpract-14-00085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/7622a2dac5cd/clinpract-14-00085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfc/11202767/87688c3ca1dd/clinpract-14-00085-g003.jpg

相似文献

[1]
Case Report: The Rehabilitation of a Patient with Acute Transverse Myelitis after COVID-19 Vaccination.

Clin Pract. 2024-6-6

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

J Neurol. 2022-3

[3]
Seropositive Neuromyelitis Optica in a Case of Undiagnosed Ankylosing Spondylitis: A Neuro-Rheumatological Conundrum.

Qatar Med J. 2022-7-7

[4]
Transverse myelitis caused by herpes zoster following COVID-19 vaccination: A case report.

World J Clin Cases. 2023-2-26

[5]
A Case of Longitudinally Extensive Transverse Myelitis Following COVID-19 Infection.

Cureus. 2023-10-24

[6]
Plasmapheresis in post-COVID-19 myelitis: A case report.

Qatar Med J. 2024-3-14

[7]
Acute autoimmune transverse myelitis following COVID-19 vaccination: A case report.

Medicine (Baltimore). 2021-12-23

[8]
Acute Transverse Myelitis after COVID-19 Vaccination.

Medicina (Kaunas). 2021-9-25

[9]
Extensive longitudinal acute transverse myelitis complicated by pulseless ventricular tachycardia and recent shingles vaccination.

Am J Emerg Med. 2023-6

[10]
Lessons of the month 1: Longitudinal extensive transverse myelitis following AstraZeneca COVID-19 vaccination.

Clin Med (Lond). 2021-9

本文引用的文献

[1]
Frequency and timing of adverse reactions to COVID-19 vaccines; A multi-country cohort event monitoring study.

Vaccine. 2024-4-2

[2]
Efficacy of transcutaneous auricular vagus nerve stimulation on radiotherapy-related neuropathic pain in patients with head and neck cancers (RELAX): protocol for a multicentre, randomised, double-blind, sham-controlled trial.

BMJ Open. 2023-9-20

[3]
Regulation of Inflammation by IRAK-M Pathway Can Be Associated with nAchRalpha7 Activation and COVID-19.

Mol Neurobiol. 2024-2

[4]
Transverse myelitis in myelin oligodendrocyte glycoprotein antibody-associated disease.

Front Neurol. 2023-7-6

[5]
Transverse Myelitis as a Rare Neurological Complication of Coronavirus Disease 2019: A Case Report and Literature Review.

Iran J Med Sci. 2023-3

[6]
Clinical Profile and Outcomes of COVID-19-Associated Transverse Myelitis: A Case Report and Review of Literature.

Neurol Clin Pract. 2022-12

[7]
COVID-19 vaccine update: vaccine effectiveness, SARS-CoV-2 variants, boosters, adverse effects, and immune correlates of protection.

J Biomed Sci. 2022-10-15

[8]
Vagus Nerve Stimulation Paired With Rehabilitation for Upper Limb Motor Impairment and Function After Chronic Ischemic Stroke: Subgroup Analysis of the Randomized, Blinded, Pivotal, VNS-REHAB Device Trial.

Neurorehabil Neural Repair. 2023-6

[9]
Understanding the Pivotal Role of the Vagus Nerve in Health from Pandemics.

Bioengineering (Basel). 2022-7-29

[10]
Neurological side effects of SARS-CoV-2 vaccinations.

Acta Neurol Scand. 2022-1

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